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1194840520
STEWART CRAIG SHIVELY
EVERETT, WA
NPI
1194840520
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Other Name
S CRAIG SHIVELY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10003914)
Enumeration Date
2007-03-21
Last Update Date
2018-02-09
Business Address
STEWART CRAIG SHIVELY PA-C
1321 COLBY AVE
EVERETT, WA 98201-1665
Phone number: 425-261-2000
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Mailing Address
STEWART CRAIG SHIVELY PA-C
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number: 866-366-2983
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