Individual
SAMUEL E. COOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 46TH AVE NE, OLYMPIA, WA 98506-1833
(360) 951-5509
Mailing address
405 46TH AVE NE, OLYMPIA, WA 98506-1833
(360) 951-5509
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OP0001340
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1070895
—
WA
Enumeration date
07/15/2006
Last updated
09/08/2021
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