JONATHAN STACKHOUSE

BOTHELL, WA
NPI1457032005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LS0200X Nurse Practitioner, School
(Licence: WA  RN60590265)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
JONATHAN STACKHOUSE
20112 84TH PL NE
BOTHELL, WA 98011-2232
Phone number: 360-325-2454
Mailing Address
JONATHAN STACKHOUSE
4800 SAND POINT WAY NE
SEATTLE, WA 98105-3901
Phone number: 360-325-2454
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