Individual
MRS. ANGELA MYRIAH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
28900 SW VILLEBOIS DR., SUITE D, WILSONVILLE, OR 97070
(503) 482-5570
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99337-5092
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201403549NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289786
LABOR & INDUSTRIES
WA
05
—
1134498652
—
WA
Enumeration date
12/29/2011
Last updated
03/25/2016
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