SearchWashington225700000X

Stephan Ray

NPI 1396108114 · on the registry since 2016 · sole proprietor

Practice

Address
915 S Highland St
Ridgefield, WA 98642
Phone
(360) 947-4890

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
225700000X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-30

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