DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LYNDA BRADY STAFFORD DO

MEDICARE: LYNDA BRADY STAFFORD DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOP00002036WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629021852
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDA BRADY STAFFORD DO
Provider Business Mailing Address
First Line : 4001 HARRISON AVE NW
Second Line : STE 101
City : OLYMPIA
State : WA
Zip : 98502-5084
Country : US
Telephone Number : 360-704-2362
Fax Number : 360-350-1445
Provider Business Practice Location Address
First Line : 319 E PIONEER AVE
Second Line :
City : MONTESANO
State : WA
Zip : 98563-4601
Country : US
Telephone Number : 360-249-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/13/2021

Similar Medicare Providers

1699700245 — DR. ROWENA MADERAZO CARATAO M.D.
Practice Location Address:
319 E PIONEER AVE
MONTESANO, WA
98563-4601
Practice Phone: 360-533-4599
Practice Fax: 360-537-6514
1306901475 — GRANT WELLS JACKSON MD
Practice Location Address:
319 E PIONEER AVE , GRANT W JACKSON MD PS
MONTESANO, WA
98563-4601
Practice Phone: 360-249-1980
Practice Fax: 360-249-1993
1023274370 — GRANT W JACKSON MD PS
Practice Location Address:
319 E PIONEER AVE
MONTESANO, WA
98563-4601
Practice Phone: 360-249-1980
Practice Fax:
1073939427 — KGP LLC
Practice Location Address:
319 E PIONEER AVE
MONTESANO, WA
98563-4601
Practice Phone: 360-249-1980
Practice Fax:
1083084677 — GRAYS HARBOR COMMUNITY HOSPITAL
Practice Location Address:
319 E PIONEER AVE
MONTESANO, WA
98563-4601
Practice Phone: 360-249-3300
Practice Fax:
1275031304 — GRAYS HARBOR COMMUNITY HOSPITAL
Practice Location Address:
319 E PIONEER AVE
MONTESANO, WA
98563-4601
Practice Phone: 360-249-3300
Practice Fax:

Directions to “ LYNDA BRADY STAFFORD DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.