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NPI 1205029477

NPI 1205029477 : STEPHEN F OU D.O. : LAKEWOOD, WA

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General NPI Number Information
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    NPI Number           |    1205029477
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN F OU D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/21/2007
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    11311 BRIDGEPORT WAY SW 
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    City                 |    LAKEWOOD
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    State                |    WA
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    Zip                  |    98499-3071
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    Country              |    US
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    Telephone            |    253-985-2733
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    Fax                  |    253-566-8777
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Provider Business Mailing Address
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    Address Line         |    11311 BRIDGEPORT WAY SW 
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    City                 |    LAKEWOOD
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    State                |    WA
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    Zip                  |    98499-3071
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    Country              |    US
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    Telephone            |    253-985-2733
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    Fax                  |    253-566-8777
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    OP60218317
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    DO187246
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    License Number State |    OR
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Taxonomy #3
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    25IB12849700
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    License Number State |    NJ
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