Individual
DR. LUKE BILLMEYER ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
O-1733
ID
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
OP60447877
WA
2084P0800X
Psychiatry Physician
Primary
O-1733
ID
2084P0800X
Psychiatry Physician
OP60447877
WA
Other
Enumeration date
03/29/2010
Last updated
09/30/2022
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