Individual
LYNDA BRADY STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
319 E PIONEER AVE, MONTESANO, WA 98563-4601
(360) 249-3300
Mailing address
4001 HARRISON AVE NW, STE 101, OLYMPIA, WA 98502-5084
(360) 704-2362
(360) 350-1445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00002036
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8449522
—
WA
Enumeration date
05/18/2006
Last updated
08/13/2021
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