Jacqueline Roth

NPI 1669021952 · on the registry since 2019 · sole proprietor

Practice

Address: 5700 172nd St Ne
Arlington, WA 98223
Phone: (360) 652-9640
Fax: (360) 652-2093
Organisation at this address: Stillaguamish Tribe Of Indians
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington