Individual
SEBASTIAN PAUL COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 NW MYHRE RD FL 2, SILVERDALE, WA 98383-7662
(564) 240-4000
(564) 240-4119
Mailing address
1950 NW MYHRE RD FL 2, SILVERDALE, WA 98383-7662
(564) 240-4000
(564) 240-4119
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD61469423
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD61469423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2258472
—
WA
Enumeration date
03/28/2014
Last updated
01/17/2025
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