Supoyo, Stephen
Supoyo, Stephen is an sole proprietor health care provider with primary practice located at 9245 Rainier Ave S , Seattle WA 98118-5569. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Supoyo, Stephen can be contacted via phone (206) 722-8444.Contact Information
Primary practice address
9245 Rainier Ave S
Seattle WA 98118-5569
Phone: (206) 722-8444
Fax: (206) 721-6310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD61069893 | Washington |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MD61069893 | Washington |
Profile Details
| NPI number | 1316441447 |
|---|---|
| LBN Legal business name | Supoyo, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2018 |
| Last updated | Oct 2nd, 2026 - about last week |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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