Individual
RUBEN P. ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 E JEFFERSON ST, SUITE 110, SEATTLE, WA 98122-5698
(206) 320-7300
(206) 320-4698
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
93-PA26
NM
363AS0400X
Surgical Physician Assistant
Primary
PA60532939
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99833
—
NM
Enumeration date
10/03/2006
Last updated
07/30/2015
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