Individual
EVENING ROSE GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
406 SE 131ST AVE STE 104, VANCOUVER, WA 98683-4031
(877) 522-1275
(833) 888-7145
Mailing address
11900 NE 18TH ST APT 526, VANCOUVER, WA 98684-5108
(360) 828-8503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 9103137
FL
363A00000X
Physician Assistant
Primary
PA10005209
WA
Other
Enumeration date
10/23/2007
Last updated
11/14/2024
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