Individual
MR. STEPHEN PAUL ENGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
406 SE 131ST AVE STE 101, VANCOUVER, WA 98683-4031
(360) 253-2822
Mailing address
406 SE 131ST AVE, SUITE A101, VANCOUVER, WA 98683-4004
(360) 253-2822
(360) 253-8642
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003176
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10003176
LICENSE
WA
Enumeration date
12/05/2006
Last updated
03/07/2023
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