Individual
CYNTHIA KOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
884 W PARK AVE, PORT TOWNSEND, WA 98368-2273
(360) 385-0321
Mailing address
PO BOX 565, PORT TOWNSEND, WA 98368-0565
(360) 385-0321
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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