Healthcare Provider Details

I. General information

NPI: 1053653972
Provider Name (Legal Business Name): CORTNEY ALESE STEVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2013
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3302 FUHRMAN AVE E
SEATTLE WA
98102-7115
US

IV. Provider business mailing address

9902 34TH AVE SW
SEATTLE WA
98126-4137
US

V. Phone/Fax

Practice location:
  • Phone: 206-462-5830
  • Fax:
Mailing address:
  • Phone: 509-899-1738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: