Individual
SUZANNE ROACHE SCHILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11611 NW 10TH CT, VANCOUVER, WA 98685
(360) 608-3246
Mailing address
11611 NW 10TH CT, VANCOUVER, WA 98685
(360) 608-3246
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
090003001RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000317
—
OR
01
—
015402000
BLUE CROSS
OR
Enumeration date
01/21/2007
Last updated
02/17/2023
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