Coburn, Walter William

Coburn, Walter William is an individual health care provider with primary practice located at 1960 Thompson Dr , Sedro Woolley WA 98284-5007. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is his primary health care specialty. Coburn, Walter William can be contacted via phone (360) 856-3186.

Contact Information

Primary practice address
1960 Thompson Dr Sedro Woolley WA 98284-5007
Phone: (360) 856-3186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LP60342552 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP60342552 Washington

Profile Details

NPI number 1477259927
LBN Legal business name Coburn, Walter William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2023
Last updated Feb 6th, 2023 - about 2 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.

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