IndividualActive
Stephanie Southwell, RN
NPI 1407537426 · Geriatric Medicine (Family Medicine) Physician · Vancouver, WA
Provider details
- NPI number
- 1407537426
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN60939398 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7604 Ne 176th Ave
Vancouver, WA 98682-2371
Phone: (503) 989-7005
Approximate (ZIP-level) locationGet directions
Mailing address
7604 Ne 176th Ave
Vancouver, WA 98682-2371
Registry dates
- Enumerated
- 2023-07-31
- Last updated
- 2023-07-31
- Certified
- 2023-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.