Individual
MR. STEPHEN D BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
939 CAROLINE ST # 3E, PORT ANGELES, WA 98362-3909
(360) 565-0999
(360) 452-7303
Mailing address
PO BOX 850, PORT ANGELES, WA 98362
(360) 565-0999
(360) 452-7303
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00039458
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8274698
—
WA
Enumeration date
03/24/2006
Last updated
07/21/2022
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