Individual
JENNA DANIELLE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E 33RD ST STE 100, VANCOUVER, WA 98663-2776
(360) 514-7550
(360) 514-7553
Mailing address
4673 SW GREENSBORO WAY APT 159, BEAVERTON, OR 97078-2781
(541) 324-2699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61014526
WA
Other
Enumeration date
12/20/2019
Last updated
01/29/2020
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