Individual
DR. ROBERT LEWIS KOTHENBEUTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 RAINIER AVE S, #200, RENTON, WA 98057-2055
(425) 255-0471
(425) 255-0262
Mailing address
263 RAINIER AVE S # 200, RENTON, WA 98057-2055
(425) 255-0471
(425) 255-0262
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD00012137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8107104
—
WA
Enumeration date
10/27/2006
Last updated
07/22/2011
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