Healthcare Provider Details

I. General information

NPI: 1760548978
Provider Name (Legal Business Name): ROBERT CHRISTOPHER COTNER ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CHRIS COTNER

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E RAILROAD AVE STE 203
PORT ANGELES WA
98362-2925
US

IV. Provider business mailing address

15507 133RD PL NE
WOODINVILLE WA
98072-5501
US

V. Phone/Fax

Practice location:
  • Phone: 425-400-8602
  • Fax: 425-433-9177
Mailing address:
  • Phone: 425-786-8841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT1212
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: