Healthcare Provider Details

I. General information

NPI: 1790624690
Provider Name (Legal Business Name): STEPHEN B HARDING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 COLE ST
ENUMCLAW WA
98022-3507
US

IV. Provider business mailing address

1705 COLE ST
ENUMCLAW WA
98022-3507
US

V. Phone/Fax

Practice location:
  • Phone: 360-825-5585
  • Fax:
Mailing address:
  • Phone: 360-825-5585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DEVIN OSSMAN
Title or Position: OWNER
Credential:
Phone: 360-825-5585