Individual
SARAH JAYNE ROSKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 N 205TH ST, SHORELINE, WA 98133-3215
(206) 542-5656
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033559
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3908
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8192957
—
WA
Enumeration date
10/27/2006
Last updated
03/16/2011
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