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STEPHANIE B ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-7878
(360) 414-7876
Mailing address
PO BOX 249, LONGVIEW, WA 98632-7154

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004487
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0188925
LABOR & IND.
WA
05
8406696
WA
01
8940047
CRIME VICTIMS
WA
Enumeration date
08/22/2005
Last updated
06/26/2025
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