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Contact Information

LUKE ROSEN, DO, PLLC
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
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LUKE ROSEN, DO, PLLC

NPI # 1184101073
LBN Legal business name LUKE ROSEN, DO, PLLC
Authorized official LUKE ROSEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2018
Last updated 09/30/2022 - About 4 years ago
Identifiers
WA License # OP60447877
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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