Individual
MRS. LESLIE A. ESTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
227 FREEWAY DRIVE, SUITE A, MOUNT VERNON, WA 98273
(360) 814-5550
(360) 814-5591
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00032199
WA
207Q00000X
Family Medicine Physician
MD0032199
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD00032199
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014683
L&I
WA
05
—
8185985
—
WA
Enumeration date
05/31/2005
Last updated
03/22/2016
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