Individual
STEWART CRAIG SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10003914
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10003914
WA
Other
Enumeration date
03/21/2007
Last updated
05/12/2025
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