Individual
LOUIS WILLIAM COTTERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2727
(360) 414-2739
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 414-2727
(360) 414-2739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00025332
WA
207RN0300X
Nephrology Physician
Primary
MD00025332
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158802
LABOR & IND.
WA
01
—
110238251
RR MEDICARE
—
05
—
286784
—
OR
05
—
8125916
—
WA
01
—
8936701
CRIME VICTIMS
WA
Enumeration date
07/07/2005
Last updated
07/30/2012
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