Individual provider · NPI-1

Wendy J. Coffman, MD

Family Medicine · Monroe, WA

NPI number1750482865
StatusActive
Last updated in NPPESMay 3, 2021

Details

NPI
1750482865
Entity type
Individual (NPI-1)
Name
Wendy J. Coffman
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2006
Certification date
May 3, 2021
Last updated
May 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00035503WAYes

Practice location

19200 N Kelsey St
Monroe, WA 98272-1431

Phone 360-794-7994 · Fax 360-805-4755

Mailing address

Po Box 3360
Providence Health & Services
Portland, OR 97208-3360

Phone 866-366-2983

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