Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD60207735 | WA |
NPI | 1043463565 |
---|---|
Provider Name | Amanda Beth Steen |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Seattle, WA 98122-5698 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 19/03/2021 |