Organization
EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY STEVEN ROSE M.D. (PHYSICIAN, PART OWNER)
(425) 261-4910
Entity
Organization
Contact information
Practice address
1330 ROCKEFELLER AVE, 225, EVERETT, WA 98201-1684
(425) 261-4910
(425) 261-4911
Mailing address
1330 ROCKEFELLER AVE, 225, EVERETT, WA 98201-1684
(425) 261-4910
(425) 261-4911
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00022810
WA
207RC0000X
Cardiovascular Disease Physician
PA10004886
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD00022810
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
PA10004886
WA
261QM2500X
Medical Specialty Clinic/Center
MD00022810
WA
261QM2500X
Medical Specialty Clinic/Center
PA10004886
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005040
DSHS J. ROSE
WA
01
—
1366435943
NPI, J.MATISTA
WA
01
—
1396749701
NPI, J.ROSE
WA
01
—
207RC0000X
TAXONOMY, J.ROSE
WA
01
—
363A00000X
TAXONOMY, J.MATISTA
WA
01
—
8435968
DSHS J.MATISTA
WA
Enumeration date
07/05/2007
Last updated
11/19/2007
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