Individual
ALLEN W. KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4260
(206) 598-8812
Mailing address
PO BOX 24975, SEATTLE, WA 98124-0975
(425) 353-2840
(425) 353-8041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00076704
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004362
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170854
LABOR & INDUSTRY
WA
01
—
59088U
REGENCE BLUESHIELD
WA
01
—
8937912
L & I CRIME VICTIMS
WA
05
—
9636648
—
WA
Enumeration date
04/06/2006
Last updated
10/10/2007
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