Individual
DR. STACEY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 EASTLAKE AVE E, G4830, SEATTLE, WA 98109-4405
(206) 288-6658
Mailing address
825 EASTLAKE AVE E # G4830, SEATTLE, WA 98109-4405
(206) 288-6658
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD60222823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205099702
—
WA
Enumeration date
07/03/2008
Last updated
10/27/2015
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