Individual
ROGER W BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00019262
WA
208M00000X
Hospitalist Physician
Primary
MD00019262
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030012
LABOR & INDUSTRY
WA
01
—
110195638
RAILROAD MEDICARE
—
05
—
8101636
—
WA
01
—
B868
BLUE SHIELD
WA
01
—
MD9262
ALASKA MEDICAID
WA
01
—
US0899731
AETNA/USHC PCP
WA
01
—
US4119874
AETNA/USHC SPECIALIST
WA
Enumeration date
07/02/2006
Last updated
05/04/2010
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