=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487660726
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANNE COOPER MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2006
-----------------------------------------------------
Last Update Date | 10/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | PO BOX 410
-----------------------------------------------------
City | NEAH BAY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98357-0410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-645-2233
-----------------------------------------------------
Fax | 360-645-2723
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 410
-----------------------------------------------------
City | NEAH BAY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98357-0410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-645-2233
-----------------------------------------------------
Fax | 360-645-2723
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | MD00031376
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | J7456
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------