Individual
DR. ANDREW P ROSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1711 5TH AVE SE, OLYMPIA, WA 98501-1801
(360) 754-6499
(360) 754-4953
Mailing address
705 4TH AVE EAST, OLYMPIA, WA 98506-3929
(360) 754-6499
(360) 754-4953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CM34140
WA
247200000X
Other Technician
CM34140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170874
L&I / WORKERS COMP
WA
01
—
020526494
TAX ID
WA
05
—
2028942
—
WA
Enumeration date
07/23/2006
Last updated
02/22/2024
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