Individual
COOPER COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 789-2000
(425) 789-2096
Mailing address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 789-2000
(425) 789-2096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61321623
WA
Other
Enumeration date
02/10/2020
Last updated
07/15/2024
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