Individual
ERICA N STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
875 140TH AVE NE, BELLEVUE, WA 98005
(425) 462-6604
Mailing address
PO BOX 15231, SEATTLE, WA 98115-0231
(425) 443-9624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60229226
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 60229226
LMP
WA
Enumeration date
11/15/2012
Last updated
08/03/2018
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