Individual
BETHANY R. ROGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 BOREN AVE, SUITE 800, SEATTLE, WA 98104-3595
(206) 323-1900
(206) 323-6868
Mailing address
600 BROADWAY, SUITE 460, SEATTLE, WA 98122-5395
(206) 323-1900
(206) 709-0148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60121085
WA
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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