Individual
DR. MASSOUD STEPHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4030 LAKE WASHINGTON BLVD NE STE 303, KIRKLAND, WA 98033-7870
(253) 752-7320
Mailing address
4030 LAKE WASHINGTON BLVD NE STE 303, KIRKLAND, WA 98033-7870
(253) 752-7320
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01077111A
IN
2084P0800X
Psychiatry Physician
D0052816
MD
2084P0800X
Psychiatry Physician
Primary
MD61413485
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201369440
—
IN
Enumeration date
10/25/2006
Last updated
03/13/2026
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