Individual
SUSAN L. COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8601 MUKILTEO SPEEDWAY, SUITE #501, MUKILTEO, WA 98275-5478
(425) 513-9186
Mailing address
8601 MUKILTEO SPEEDWAY, SUITE #501, MUKILTEO, WA 98275-5478
(425) 513-9186
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1476TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021285
—
WA
05
—
2021293
—
WA
Enumeration date
10/18/2006
Last updated
10/26/2007
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