Individual
STEPHEN M LAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
702 S PARK ST, DEER PARK, WA 99006-7025
(509) 262-9000
(509) 276-3034
Mailing address
PO BOX 340, DEER PARK, WA 99006-0340
(509) 262-9000
(509) 276-3034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004843
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197738
LABOR & INDUSTRIES
WA
05
—
8430159
—
WA
Enumeration date
06/01/2006
Last updated
03/04/2015
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