Individual
DR. JOHN CREIGHTON ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
14030 NE 24TH ST STE 104, BELLEVUE, WA 98007-3731
(253) 341-6178
(425) 458-9631
Mailing address
14030 NE 24TH ST STE 104, BELLEVUE, WA 98007-3731
(253) 341-6178
(425) 458-9631
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00031733
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8208282
—
WA
Enumeration date
03/01/2007
Last updated
10/16/2012
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