Individual
DR. ETHAN ROSS ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
(425) 317-3959
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 259-0966
(425) 317-3959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
61602
KY
207L00000X
Anesthesiology Physician
Primary
M5911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60153759
LICENSE
WA
Enumeration date
03/02/2007
Last updated
03/06/2026
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