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Mark E Coughenour, MD
Hematology & Oncology Physician in Everett, Washington
NPI 1760421374

Mark E Coughenour is a Hematology & Oncology Physician based in Everett, WA and is specialized in Hematology & Oncology. Mark E Coughenour practices in Everett, WA and has the professional credentials of MD. The NPI Number for Mark E Coughenour is 1760421374 and holds a License No. MD00025571 (Washington).

The current practice location address for Mark E Coughenour is 1717 13Th St, Everett, WA and can be reached out via phone at 425-297-5500 and via fax at 425-297-5514.

Location: 1717 13Th St, Everett, WA, 98206-5127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760421374
Provider Name
Mark E Coughenour
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1717 13Th St, Everett, WA, 98206-5127
Phone Number
425-297-5500
Fax Number
425-297-5514
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0211179 01 WA LABOR AND INDUSTRY
8108839 05 WA
1018272 05 WA
MD00025571 01 WA STATE LICENSE NUMBER
110073395 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1717 13Th St
City
Everett
State
Washington
Zip
98201-1621
Phone Number
425-297-5500
Fax Number
425-297-5514
person
Provider Business Mailing Address Details
Address
1717 13Th St
City
Everett
State
Washington
Zip
98201-1621
Phone Number
425-297-5500
Fax Number
425-297-5514
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MD00025571 (Washington)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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