# PACIFIC NORTHWEST ENDOCRINOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588350565
- **Authorized official:** LORI A COOPER MD (PRESIDENT)
- **Authorized official phone:** (415) 851-5674

## Contact information

- **Practice address:** 1201 2ND AVE STE 900, SEATTLE, WA 98101-3020
- **Practice address phone:** (415) 851-5674
- **Practice address fax:** (209) 290-3358
- **Mailing address:** 5056 BEACH DR SW, SEATTLE, WA 98136-1040
- **Mailing address phone:** (415) 851-5674
- **Mailing address fax:** (209) 290-3358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2023
- **Last updated:** 04/13/2023