Cogburn, Poppy Jean

Cogburn, Poppy Jean is an sole proprietor health care provider with primary practice located at 516 E 1St St , Aberdeen WA 98520-4106. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cogburn, Poppy Jean can be contacted via phone (360) 721-3591.

Contact Information

Primary practice address
516 E 1St St Aberdeen WA 98520-4106
Phone: (360) 721-3591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X RN00160337 Washington

Profile Details

NPI number 1396318606
LBN Legal business name Cogburn, Poppy Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2021
Last updated Jul 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396318606 NPPES
Washington Other RN00160337 NURSE LICENSURE

Popular Providers