Rose Family Medicine, Pllc

NPI 1104176007 - Family Medicine - 207Q00000X

NPI Details
NPI 1104176007
Enumeration Date 09/18/2012
Last Updated 03/19/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MATTHEW HOWARD MATTHEW
Position PHYSICIAN
Phone (360) 861-6433
Fax
Practice Location
1499 SE TECH CENTER PL
SUITE 135
VANCOUVER WA, 98683-5528, US
Phone (360) 861-6433
Fax
Business Location
1499 SE TECH CENTER PL
SUITE 135
VANCOUVER WA, 98683-5528, US
Phone (360) 861-6433
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number OP60287355
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According to our database, Rose Family Medicine, Pllc NPI is 1104176007, taxonomy code is 207Q00000X and license number is OP60287355, license state is located at Washington. Rose Family Medicine, Pllc physically located at 1499 Se Tech Center Pl, Vancouver WA, 98683-5528. NPI Number 1033115704 has the healthcare provider type.

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1104176007 NPI number is provided on an as is basis without warranty of any kind. 1104176007 is maintained by the National Plan & Provider Enumeration System. The contents of Rose Family Medicine, Pllc are for informational purposes only.