Individual
HARRY E ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
18820 STATE HIGHWAY 305 NE, POULSBO, WA 98370-6234
(360) 394-0105
Mailing address
18820 STATE HIGHWAY 305 NE, POULSBO, WA 98370-6234
(360) 394-0105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30005073
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30005073
WA
363LP2300X
Primary Care Nurse Practitioner
AP30005073
WA
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.022273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307517
—
OH
01
—
6850RO
REGENCE BLUE SHIELD
WA
Enumeration date
12/11/2006
Last updated
04/19/2021
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