Individual
MRS. MARGARET L RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7308 BRIDGEPORT WAY W, SUITE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005263
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226855
L & I
WA
01
—
G8869275
MEDICARE PTAN NON-KING CO.
WA
Enumeration date
10/01/2007
Last updated
11/05/2012
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