Provider Demographics
NPI:1144579046
Name:STINGER, VALERIA KATHERINE (LMP)
Entity Type:Individual
Prefix:
First Name:VALERIA
Middle Name:KATHERINE
Last Name:STINGER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 4TH AVE S APT 508
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-3612
Mailing Address - Country:US
Mailing Address - Phone:775-230-1228
Mailing Address - Fax:
Practice Address - Street 1:1175 NW GILMAN BLVD STE B5
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5375
Practice Address - Country:US
Practice Address - Phone:425-313-8950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60218569174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist