Individual
REBEKAH J KOOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
(206) 515-5886
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
(206) 520-5620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60205847
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01241107
RAILROAD MEDICARE
WA
Enumeration date
04/20/2011
Last updated
07/08/2014
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