Individual
CAROLINE JOY ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1213 24TH ST, #100, ANACORTES, WA 98221
(360) 293-3101
(360) 588-1041
Mailing address
3201 COMMERCIAL AVE STE B, ANACORTES, WA 98221-2761
(360) 873-5318
(360) 371-6243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL60386634
WA
207Q00000X
Family Medicine Physician
Primary
OP60573566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000086
—
WA
Enumeration date
09/19/2013
Last updated
09/24/2024
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