Individual
SETH J. STANKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
DO29116
OR
2084N0400X
Neurology Physician
Primary
OP00001885
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264258
STATE L&I
WA
01
—
264261
STATE L&I
WA
01
—
264263
STATE L&I
WA
05
—
500605945
—
OR
05
—
8388886
—
WA
Enumeration date
01/02/2007
Last updated
03/25/2011
Update your record
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