SearchWashington172M00000X

Jedadiah Stewart, LMP

NPI 1396048252 · on the registry since 2010 · sole proprietor

Practice

Address
419 Ne 4th Ave
Camas, WA 98607
Phone
(360) 210-5266

Registry record

Primary taxonomy
172M00000X
172M00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-12-15

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