Individual
DEBORAH A ROKOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
243511 W HIGHWAY 101, PORT ANGELES, WA 98363-9472
(360) 452-6252
(360) 452-6274
Mailing address
PO BOX 3177, SEQUIM, WA 98382-5011
(360) 452-6252
(360) 452-6274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP30001032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9634718
MEDICAID PROVIDER NUMBER
WA
Enumeration date
06/18/2007
Last updated
07/08/2007
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