Individual
JASON P. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD60771872
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982042529
—
WA
Enumeration date
06/05/2013
Last updated
05/13/2019
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