Individual
STOCKTON WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3810 NE CAVITT RD, CAMAS, WA 98607-9759
(360) 521-6272
Mailing address
3810 NE CAVITT RD, CAMAS, WA 98607-9759
(360) 521-6272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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