Provider Demographics
NPI:1760548978
Name:COTNER, ROBERT CHRISTOPHER (ND)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHRISTOPHER
Last Name:COTNER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:COTNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12209 NE 130TH WAY
Mailing Address - Street 2:M202
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-7361
Mailing Address - Country:US
Mailing Address - Phone:425-786-8841
Mailing Address - Fax:
Practice Address - Street 1:12025 115TH AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6942
Practice Address - Country:US
Practice Address - Phone:425-821-1810
Practice Address - Fax:425-823-1231
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2017-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT1212175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath