Provider Demographics
NPI:1407485105
Name:COOPER, JOCELYN J (MD)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:J
Last Name:COOPER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9801 FRONTIER AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-5200
Mailing Address - Country:US
Mailing Address - Phone:425-831-2300
Mailing Address - Fax:
Practice Address - Street 1:35020 SE KINSEY ST STE A
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-8992
Practice Address - Country:US
Practice Address - Phone:425-396-7682
Practice Address - Fax:425-396-7684
Is Sole Proprietor?:No
Enumeration Date:2020-04-04
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD61334297207K00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology