Provider Demographics
NPI:1316102718
Name:STEVENS, CLAIRE ELIZABETH (PA)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:STEVENS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:BOX 659929
Mailing Address - Street 2:325 - 9TH AVE.
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3595
Mailing Address - Country:US
Mailing Address - Phone:206-744-8882
Mailing Address - Fax:206-744-3483
Practice Address - Street 1:325 - 9TH AVE.
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3595
Practice Address - Country:US
Practice Address - Phone:206-720-4340
Practice Address - Fax:206-720-4371
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10000298363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical