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Stephen Nicholls, MD
Vascular Surgery Physician in Vancouver, Washington
NPI 1437187598

Stephen Nicholls is a Vascular Surgery Physician based in Seattle, WA and is specialized in Vascular Surgery. Stephen Nicholls practices in Vancouver, WA and has the professional credentials of MD. The NPI Number for Stephen Nicholls is 1437187598 and holds a License No. 23966 (Washington).

The current practice location address for Stephen Nicholls is 200 Ne Mother Joseph Pl, Vancouver, WA and can be reached out via phone at 360-514-1854 and via fax at 360-514-6063.

Location: 200 Ne Mother Joseph Pl, Vancouver, WA, 98122-5381
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437187598
Provider Name
Stephen Nicholls
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Ne Mother Joseph Pl, Vancouver, WA, 98122-5381
Phone Number
360-514-1854
Fax Number
360-514-6063
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8105322 05 WA
institution
Provider Business Practice Location Address Details
Address
200 Ne Mother Joseph Pl
City
Vancouver
State
Washington
Zip
98664-3299
Phone Number
360-514-1854
Fax Number
360-514-6063
person
Provider Business Mailing Address Details
Address
200 Ne Mother Joseph Pl
City
Vancouver
State
Washington
Zip
98664-3299
Phone Number
360-514-1854
Fax Number
360-514-6063
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00023966 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
23966 (Washington)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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