Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | MD60173875 | WA |
NPI | 1013075605 |
---|---|
Provider Name | Christine Cofer |
First Address | University Place, WA 98466-4614 |
Second Address | University Place, WA 98466-4614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 23/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0269875 | STATE L&I (01) | WA |