Individual
BARBARA ELIZABETH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
CM60858135
WA
175T00000X
Peer Specialist
Primary
CG61116473
WA
Other
Enumeration date
02/04/2020
Last updated
04/22/2021
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