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General NPI Number Information
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NPI Number | 1215131404
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Entity Type | Individual
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Provider Name | STEPHANIE CAMILLE AYMOND MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 33801 1ST WAY S STE 101
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6219
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Country | US
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Telephone | 253-942-7226
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Fax | 214-266-3302
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Provider Business Mailing Address
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Address Line | PO BOX 94522
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City | SEATTLE
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State | WA
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Zip | 98124-6822
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Country | US
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Telephone | 952-542-8553
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Fax | 952-513-6880
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | M0346
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD61029857
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License Number State | WA
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