Individual
MARK D CORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 W POPLAR ST, PSMPG SLEEP MEDICINE, WALLA WALLA, WA 99362-2846
(509) 522-5845
(509) 522-5527
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60118218
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407184021
—
WA
05
—
500629795
—
OR
Enumeration date
11/19/2009
Last updated
05/10/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us