Provider Demographics
NPI:1821056268
Name:SESSO, STEVEN RICHARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:RICHARD
Last Name:SESSO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 49TH PL SW
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-1752
Mailing Address - Country:US
Mailing Address - Phone:425-303-1379
Mailing Address - Fax:
Practice Address - Street 1:21540 30TH DR SE
Practice Address - Street 2:#220
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-7015
Practice Address - Country:US
Practice Address - Phone:206-341-0640
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist