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Contact Information

LUKE B ROSEN, DO
1174 ALTURAS DR UNIT 4B
MOSCOW, ID83843-8341
 Phone: 360-828-8130
 Fax: 360-785-2171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for LUKE B ROSEN · (Male)

NPI # 1194040576
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/29/2010
Last updated 09/30/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ID License # O-1733
  • WA License # OP60447877
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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