Individual
STEPHEN E POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4215 49TH AVE NE, TACOMA, WA 98422-2421
(253) 459-7699
Mailing address
4215 49TH AVE NE, TACOMA, WA 98422-2421
(253) 459-7699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD00035285
WA
207VG0400X
Gynecology Physician
Primary
MD00035285
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039592
LABOR & INDUSTRY
WA
01
—
160040245
RAILROAD MEDICARE
—
05
—
8221533
—
WA
01
—
PO7788
BLUE SHIELD
WA
01
—
US1004480
AETNA/USHC SPECIALIST
WA
Enumeration date
07/13/2006
Last updated
01/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us