Individual
DR. MICHELE KAY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
125 N 18TH ST, SUITE 'B', MOUNT VERNON, WA 98273-3902
(360) 360-0072
(360) 336-0126
Mailing address
414 E WASHINGTON ST, MOUNT VERNON, WA 98274-3935
(360) 630-0072
(360) 336-0126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60188169
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277343
LABOR & INDUSTRIES
WA
Enumeration date
06/17/2008
Last updated
05/03/2013
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