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Individual

CHRISTOPHER STAMATAKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2101 NE 139TH ST STE 450, VANCOUVER, WA 98686-2325
(360) 487-4848
Mailing address
2101 NE 139TH ST STE 450, VANCOUVER, WA 98686-2325
(360) 487-4848

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003798
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8320871
WA
Enumeration date
07/20/2006
Last updated
07/15/2015
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