Individual
MS. ANN W ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 COBURG RD., #201, EUGENE, OR 97401
(541) 726-4686
(541) 726-5056
Mailing address
10 COBURG RD., #201, EUGENE, OR 97401
(541) 726-4686
(541) 726-5056
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00290
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136523
—
OR
Enumeration date
05/17/2006
Last updated
12/14/2010
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