Walter William Coburn I, is a
Licensed Practical Nurse based in Sedro Woolley, Washington. Walter William Coburn I is licensed to practice in Washington (license number LP60342552) and his current practice location is
1960 Thompson Dr, Sedro Woolley, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 856-3186.
NPI number for Walter William Coburn I is 1477259927 and his current mailing address is 1203 E Section St, Mount Vernon, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477259927.
Healthcare Provider's Profile
Full Name | Walter William Coburn I |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 1960 Thompson Dr, Sedro Woolley, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477259927
- Provider Enumeration Date: 02/06/2023
- Last Update Date: 02/06/2023
Medical Identifiers
Medical identifiers for Walter William Coburn I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477259927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LP60342552 (Washington) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
164W00000X | Licensed Practical Nurse | LP60342552 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Walter William Coburn I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Walter William Coburn I, 1203 E Section St, Mount Vernon, WA 98274-5020 Ph: (253) 227-1844 | Walter William Coburn I, 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 Ph: (360) 856-3186 |
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