Individual
CAITLIN STAVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4126 E MADISON ST STE 204, SEATTLE, WA 98112-3345
(206) 926-9901
Mailing address
1821 HARVARD AVE APT 303, SEATTLE, WA 98122-2212
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MC61359162
WA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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