Individual
JENNIFER L. ROSQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4545 CORDATA PKWY STE 1F, BELLINGHAM, WA 98226-7264
(360) 752-5246
(360) 752-5679
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1412
(360) 729-3028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
8402
MT
208000000X
Pediatrics Physician
Primary
MD00046745
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229981
L&I AND CRIME VICTIMS
WA
05
—
8455099
—
WA
Enumeration date
05/31/2006
Last updated
12/08/2021
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