Individual
ERIC ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-4770
(206) 598-4055
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033177
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4873
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8198988
—
WA
Enumeration date
10/16/2006
Last updated
07/08/2007
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