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Individual

DEREK ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CERTIFIED PEER

Contact information

Practice address
4407 N DIVISION ST STE 205, SPOKANE, WA 99207-1660
(509) 328-3802
(509) 328-3871
Mailing address
4407 N DIVISION ST STE 205, SPOKANE, WA 99207-1660
(509) 328-3802
(509) 328-3871

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
WA
175T00000X
Peer Specialist
Primary

Other

Enumeration date
02/24/2022
Last updated
05/14/2026
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