Individual
JORDAN KENDAL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC STREET, SEATTLE, WA 98195
(206) 543-3891
Mailing address
UW BOX 356460, 1959 NE PACIFIC ST, SEATTLE, WA 98195
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60653160
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467718528
—
WA
Enumeration date
04/03/2012
Last updated
09/22/2017
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