Provider Demographics
NPI:1417026535
Name:COTE, CYNTHIA LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LOUISE
Last Name:COTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27203-216TH AVE SE
Mailing Address - Street 2:ST A
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-3274
Mailing Address - Country:US
Mailing Address - Phone:425-413-8292
Mailing Address - Fax:425-413-8299
Practice Address - Street 1:27203-216TH AVE SE
Practice Address - Street 2:STE A
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-3274
Practice Address - Country:US
Practice Address - Phone:425-413-8292
Practice Address - Fax:425-413-8299
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026531207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA710937195OtherTAX ID NUMBER