Individual
PATRICK KOPACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-7263
(206) 543-8736
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-7263
(206) 543-8736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61262176
WA
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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