Healthcare Provider Details

I. General information

NPI: 1932267531
Provider Name (Legal Business Name): STEPHANIE W. YOSHINO BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 EASTLAKE AVE EAST SUITE 300
SEATTLE WA
98109-5503
US

IV. Provider business mailing address

325 9TH AVENUE BOX 359110
SEATTLE WA
98104
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-0502
  • Fax: 206-598-0516
Mailing address:
  • Phone: 206-598-0502
  • Fax: 206-598-0516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberOI00000257
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberPS00000054
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: