Individual
ADAM M STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7203 129TH AVE SE, STE 100, NEWCASTLE, WA 98056-1412
(425) 690-3455
(425) 690-9455
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60384411
WA
208M00000X
Hospitalist Physician
OP60384411
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020726
—
WA
01
—
G8930792
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
05/31/2011
Last updated
03/26/2020
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