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Jon Christian Kooiker, MD
Specialist in Olympia, Washington
NPI 1568420180

Jon Christian Kooiker is a Specialist based in Olympia, WA. Jon Christian Kooiker practices in Olympia, WA and has the professional credentials of MD. The NPI Number for Jon Christian Kooiker is 1568420180 and holds a License No. MD00014128 (Washington).

The current practice location address for Jon Christian Kooiker is 525 Lilly Rd Ne, Olympia, WA and can be reached out via phone at 360-413-8551 and via fax at 360-413-8827.

Location: 525 Lilly Rd Ne, Olympia, WA, 98506-5101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568420180
Provider Name
Jon Christian Kooiker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
525 Lilly Rd Ne, Olympia, WA, 98506-5101
Phone Number
360-413-8551
Fax Number
360-413-8827
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1470103 05 WA
institution
Provider Business Practice Location Address Details
Address
525 Lilly Rd Ne
City
Olympia
State
Washington
Zip
98506-5101
Phone Number
360-413-8551
Fax Number
360-413-8827
person
Provider Business Mailing Address Details
Address
525 Lilly Rd Ne
City
Olympia
State
Washington
Zip
98506-5101
Phone Number
360-413-8551
Fax Number
360-413-8827
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00014128 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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