Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD00031645 | WA |
NPI | 1194720060 |
---|---|
Provider Name | Patricia A Rodrigues |
First Address | Lynnwood, WA 98046-3129 |
Second Address | Seattle, WA 98133-9451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 09/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1088822 | (05) | WA |
F22479 | (02) | WA |