Provider Demographics
NPI:1407034804
Name:STAMPER, AARON CHRISTOPHER (LAC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:CHRISTOPHER
Last Name:STAMPER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 116TH AVE NE STE 109
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3827
Mailing Address - Country:US
Mailing Address - Phone:425-818-8248
Mailing Address - Fax:425-818-1418
Practice Address - Street 1:1515 116TH AVE NE STE 109
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3827
Practice Address - Country:US
Practice Address - Phone:425-818-8248
Practice Address - Fax:425-818-1418
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00003002171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist