Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD60048520 | WA |
N | 207ND0101X | MOHS-Micrographic Surgeon | MD60048520 | WA |
NPI | 1376717363 |
---|---|
Provider Name | Dr. Heather D Rogers |
First Address | Seattle, WA 98109-4324 |
Second Address | Seattle, WA 98109-4324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 28/09/2020 |