Individual
DR. STEPHEN E. PLISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7701 NE HIGHWAY 99, VANCOUVER, WA 98665-8834
(360) 574-2900
Mailing address
4421 NE ST JOHNS RD, VANCOUVER, WA 98661-2573
(360) 695-9922
(360) 695-1310
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8106304
—
WA
01
—
CO4293
MEDICARE RAILROAD
WA
Enumeration date
08/25/2005
Last updated
03/29/2012
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