Individual
HEIDI T ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13014 120TH AVE NE, KIRKLAND, WA 98034-3015
(425) 821-8004
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00036349
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
05
—
8251266
—
WA
01
—
9229RO
BLUE SHIELD
WA
01
—
US2253512
AETNA/USHC SPECIALIST
WA
Enumeration date
08/15/2006
Last updated
04/07/2008
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