Allen W. Koopman, CRNA
Nurse Anesthetist, Certified Registered in Seattle, WA. Individual provider (NPI-1).
NPI number1104889757
StatusActive
Last updated in NPPESOct 10, 2007
Details
- NPI
- 1104889757
- Entity type
- Individual (NPI-1)
- Name
- Allen W. Koopman
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2006
- Last updated
- Oct 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30004362 | WA | Yes |
| 163W00000X | Registered Nurse | RN00076704 | WA |
Practice location
1959 Ne Pacific StSeattle, WA 98195-0001
Phone 206-598-4260 · Fax 206-598-8812
Mailing address
Po Box 24975Seattle, WA 98124-0975
Phone 425-353-2840 · Fax 425-353-8041
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