Individual
DR. JEFF COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO PLLC
Contact information
Practice address
4300 TALBOT RD S STE 104, RENTON, WA 98055-6238
(425) 226-0073
(833) 973-3950
Mailing address
4300 TALBOT RD S, SUITE 104, RENTON, WA 98055-6238
(206) 766-0613
(833) 973-3950
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OP00001995
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8429854
—
WA
01
—
G8863962
MEDICARE ID-PIN
WA
Enumeration date
01/26/2006
Last updated
02/21/2026
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