Individual
DEREK LYNN STIREWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD00033751
WA
207RX0202X
Medical Oncology Physician
Primary
MD00033751
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093805947
—
WA
Enumeration date
10/13/2006
Last updated
05/28/2020
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