Individual
DR. MARK KOENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 UNION ST, SUITE 1704, SEATTLE, WA 98101-2341
(206) 623-1949
Mailing address
601 UNION ST, SUITE 1704, SEATTLE, WA 98101-2341
(206) 623-1949
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
A106795
CA
2084F0202X
Forensic Psychiatry Physician
MD00041348
WA
2084P0800X
Psychiatry Physician
A106795
CA
2084P0800X
Psychiatry Physician
Primary
MD00041348
WA
Other
Enumeration date
04/26/2009
Last updated
04/14/2010
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