person
Dr. Roger M Blauvelt, MD
Specialist in Auburn, Washington
NPI 1932187341

Roger M Blauvelt is a Specialist based in Auburn, WA. Roger M Blauvelt practices in Auburn, WA and has the professional credentials of MD. The NPI Number for Roger M Blauvelt is 1932187341 and holds a License No. MD00034945 (Washington).

The current practice location address for Roger M Blauvelt is 122 3Rd St Ne, Auburn, WA and can be reached out via phone at 253-833-7750 and via fax at 253-833-7469. You can also correspond with Roger M Blauvelt through the mailing address at 122 3RD ST NE, AUBURN, WA - 98002-4013 (mailing address contact number: 253-833-7750).

Location: 122 3Rd St Ne, Auburn, WA, 98002-4013
person
Provider Profile Details
NPI Number
1932187341
Provider Name
Roger M Blauvelt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
122 3Rd St Ne, Auburn, WA, 98002-4013
Phone Number
253-833-7750
Fax Number
253-833-7469
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5677BL 01 WA REGENCE
172908 01 WA LABOR & INDUSTRIES
GAB38443 01 WA MEDICARE LEGACY
1101260 01 WA DSHS
1101260 05 WA
institution
Provider Business Practice Location Address Details
Address
122 3Rd St Ne
City
State
Zip
98002-4013
Phone Number
253-833-7750
Fax Number
253-833-7469
person
Provider Business Mailing Address Details
Address
122 3Rd St Ne
City
State
Zip
98002-4013
Phone Number
253-833-7750
Fax Number
253-833-7469
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD00034945 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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