Individual
JAROSLAW J KOTLARCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 24TH ST, ANACORTES, WA 98221-2562
(360) 293-3181
Mailing address
PO BOX 189, COUPEVILLE, WA 98239-0189
(360) 678-4071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
45127
CO
207L00000X
Anesthesiology Physician
C53430
CA
207L00000X
Anesthesiology Physician
MD2006-0737
NM
207L00000X
Anesthesiology Physician
Primary
MD33166
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114KO
REGENCE BS
WA
05
—
8212029
—
WA
Enumeration date
12/06/2006
Last updated
06/30/2025
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