Individual
STEPHANIE A MACK HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8980 161ST AVE NE STE 320, REDMOND, WA 98052-7554
(425) 883-3333
(425) 869-4854
Mailing address
8980 161ST AVE NE STE 320, REDMOND, WA 98052-7554
(425) 883-3333
(425) 869-4854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60795287
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2016
Last updated
12/03/2019
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