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Individual

SUSAN GAYLE ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
597 POINT BROWN AVE NE, OCEAN SHORES, WA 98569
(604) 911-3993
(360) 289-9982
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN00129267
WA
363L00000X
Nurse Practitioner
Primary
AP30006312
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0173362
L&I
WA
01
614161500
DOL OWCP FECA
WA
05
9642661
WA
Enumeration date
01/25/2006
Last updated
04/01/2025
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