Individual
JONATHAN KENNETH STEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8507 S 5TH ST, RIDGEFIELD, WA 98642-3421
(360) 887-9494
(360) 887-9498
Mailing address
8507 S 5TH ST, RIDGEFIELD, WA 98642-3421
(360) 887-9494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6030
AZ
363A00000X
Physician Assistant
Primary
PA61168147
WA
363AM0700X
Medical Physician Assistant
6030
AZ
363AM0700X
Medical Physician Assistant
PA61168147
WA
363AS0400X
Surgical Physician Assistant
6030
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017418
—
AZ
Enumeration date
01/13/2006
Last updated
11/16/2022
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