Individual
MICHELE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
433 E 8TH ST, PORT ANGELES, WA 98362-6219
(360) 452-3373
(360) 457-2188
Mailing address
433 E 8TH ST, PORT ANGELES, WA 98362-6219
(360) 452-3373
(360) 457-2188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL20000128
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
OP60159902
WA
Other
Enumeration date
09/21/2007
Last updated
06/19/2012
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