Individual provider · Type 1 NPI

Samuel Stephens

Student in an Organized Health Care Education/Training Program · Edmonds, WA

NPI number 1902732001 Active

Practice location

7500 212th St SW Ste 205
Edmonds, WA 98026-7617

Call (425) 977-4988 Map

Fax (425) 977-4989

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902732001

Samuel Stephens's National Provider Identifier is 1902732001, issued on Jun 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edmonds, WA. The record was last updated on Jun 18, 2026.