Provider Demographics
NPI:1255701033
Name:MCLAUGHLIN - STONEBRAKER PLLC
Entity type:Organization
Organization Name:MCLAUGHLIN - STONEBRAKER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:MILHOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-885-0008
Mailing Address - Street 1:7530 164TH AVE NE STE A130
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-7837
Mailing Address - Country:US
Mailing Address - Phone:425-885-0008
Mailing Address - Fax:425-885-5093
Practice Address - Street 1:7530 164TH AVE NE
Practice Address - Street 2:#A-130
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7808
Practice Address - Country:US
Practice Address - Phone:425-885-0008
Practice Address - Fax:425-885-5093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty