Individual
CHINDA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 347-7797
(425) 353-0987
Mailing address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 347-7797
(425) 353-0987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00038223
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152832
WORK COMP
WA
05
—
8252165
—
WA
01
—
A003
TRICARE
WA
Enumeration date
08/10/2006
Last updated
07/09/2007
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