Healthcare Provider Details

I. General information

NPI: 1083298608
Provider Name (Legal Business Name): STEPHEN ROBERT DURKEE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 3RD ST SE STE 240
PUYALLUP WA
98372-3771
US

IV. Provider business mailing address

1322 3RD ST SE
PUYALLUP WA
98372-3771
US

V. Phone/Fax

Practice location:
  • Phone: 253-697-1420
  • Fax: 253-697-1439
Mailing address:
  • Phone: 253-697-1420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberMD61582363
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD61582363
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: