Individual
REBECCA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1019 112TH ST SW, EVERETT, WA 98204
(425) 382-4070
(425) 382-4061
Mailing address
1019 112TH ST SW, EVERETT, WA 98204-4875
(425) 382-4070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60875663
WA
Other
Enumeration date
04/14/2015
Last updated
08/15/2018
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