Individual
STEPHANIE MICHELE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 731-3263
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00045328
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962468934
—
WA
Enumeration date
04/26/2006
Last updated
06/14/2021
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