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Audra Stave
NPI 1205236650 · on the registry since 2014
Practice
- Address
- 13501 Ne 28th St
Vancouver, WA 98682 - Phone
- (360) 604-6700
- Clinicians at this address
- 63
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
390200000X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington