Organization
LUKE ROSEN, DO, PLLC
Active
Organization
LUKE ROSEN, DO, PLLC
Active
Other names
PsychNS
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE BILLMEYER ROSEN DO (OWNER)
(360) 828-8130
Entity
Organization
Contact information
Practice address
1174 ALTURAS DR UNIT 4B, MOSCOW, ID 83843-8341
(360) 828-8130
(360) 785-2171
Mailing address
1174 ALTURAS DR UNIT 4B, MOSCOW, ID 83843-8341
(360) 828-8130
(360) 785-2171
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
OP60447877
WA
2084P0800X
Psychiatry Physician
OP60447877
WA
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
09/30/2022
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