Individual
DESIREE ROGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105
(206) 987-2114
(206) 987-2651
Mailing address
PO BOX 5371, SEATTLE, WA 98145-5005
(206) 987-2114
(206) 987-2651
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
MD60933424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295905909
—
WA
Enumeration date
03/10/2008
Last updated
11/04/2019
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