Provider Demographics
NPI:1700110194
Name:FOSTER, STEVEN M (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:FOSTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 SUMMITVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-2715
Mailing Address - Country:US
Mailing Address - Phone:509-248-7849
Mailing Address - Fax:509-248-8291
Practice Address - Street 1:1008 S 38TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3953
Practice Address - Country:US
Practice Address - Phone:509-965-1035
Practice Address - Fax:509-225-2700
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK6225207Q00000X
VA0102202452207Q00000X
AK7307207Q00000X
WV2400207Q00000X
WAOP60411757207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK021310Medicare Oscar/Certification
AKTEZ042Medicare PIN