Individual
STEPHANIE BRIE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 SE 136TH AVE, VANCOUVER, WA 98684-6930
(360) 944-9889
Mailing address
1498 SE TECH CENTER PLACE, SUITE 240, VANCOUVER, WA 98683
(360) 597-1309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60318332
WA
Other
Enumeration date
11/03/2011
Last updated
07/21/2022
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