Search › Washington › 111N00000X
Beau Rogers
NPI 1881109858 · on the registry since 2017 · sole proprietor
Practice
- Address
- 860 Cole St
Enumclaw, WA 98022 - Phone
- (360) 825-1638
- Fax
- (360) 825-7605
- Clinicians at this address
- 2
Additional practice sites
- 18228 273rd Ave E, Carbonado, WA
- 1624 Pioneer St Ste A, Enumclaw, WA
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-05
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