Individual
PAUL D COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000487
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00039598
LABOR & INDUSTRY
WA
05
—
1084417
—
WA
01
—
CO3197
BLUE SHIELD
WA
01
—
US4528964
AETNA/USHC SPECIALIST
WA
Enumeration date
07/10/2006
Last updated
01/26/2015
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