Individual
RICHARD P KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9H AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY, MS:M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00046423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039588
L&I
WA
01
—
3356KO
BLUE SHIELD
WA
05
—
8467094
—
WA
Enumeration date
08/23/2006
Last updated
04/06/2008
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