Individual
STEFAN MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1299 BISHOP RD, CHEHALIS, WA 98532-8758
(360) 748-0211
Mailing address
1299 BISHOP RD, CHEHALIS, WA 98532-8758
(360) 748-0211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2020
Last updated
06/30/2023
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