Healthcare Provider Details

I. General information

NPI: 1003032350
Provider Name (Legal Business Name): TINSLEY COBLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 02/27/2021
Certification Date: 02/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N 115TH STREET NORTHWEST HOSPITAL
SEATTLE WA
98133
US

IV. Provider business mailing address

1608 38TH AVE E
SEATTLE WA
98112-3134
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-1849
  • Fax:
Mailing address:
  • Phone: 206-328-7555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD00035174
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD00035174
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: