Individual
DR. STEPHEN ALAN LISTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.,P.S.
Contact information
Practice address
1316 NE 99TH ST, VANCOUVER, WA 98665-8910
(360) 574-6594
(360) 574-2235
Mailing address
1316 NE 99TH ST, VANCOUVER, WA 98665-8910
(360) 574-6594
(360) 574-2235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
272945
OR
111N00000X
Chiropractor
Primary
CH00003903
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49636
LABOR & INDUSTRIES
WA
Enumeration date
09/16/2005
Last updated
07/08/2007
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