Individual
MS. DOROTHY R. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(206) 459-3484
Mailing address
5415 93RD PLACE SW, MUKILTEO, WA 98275
(206) 459-3484
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
201501333NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30004836
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9624834
—
WA
Enumeration date
10/03/2006
Last updated
09/18/2020
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