Individual
STEPHANIE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 110, VANCOUVER, WA 98664-3293
(360) 254-6161
(360) 449-1146
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 449-1146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61147744
WA
363AM0700X
Medical Physician Assistant
PA190844
OR
363AM0700X
Medical Physician Assistant
PA61147744
WA
363AS0400X
Surgical Physician Assistant
PA61147744
WA
Other
Enumeration date
09/17/2016
Last updated
05/13/2021
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