Cooper, Heather Lynn

Cooper, Heather Lynn is an individual health care provider with primary practice located at 10004 204Th Ave E Suite 1300, Bonney Lake WA 98391-6535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cooper, Heather Lynn can be contacted via phone (253) 848-8797.

Contact Information

Primary practice address
10004 204Th Ave E Suite 1300 Bonney Lake WA 98391-6535
Phone: (253) 848-8797
Fax: (253) 826-1264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9800822 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00049019 Washington

Profile Details

NPI number 1841268398
LBN Legal business name Cooper, Heather Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 14th, 2011 - about 13 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 1841268398 NPPES
Washington MEDICAID 8497737
Washington MEDICAID 89126CE

Popular Providers