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NPI Code Detail

MEDICARE: DR. CAROLINE ROSE M.D.

MEDICARE: DR. CAROLINE ROSE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD00038763WA

General Provider Information

NPI Number : 1669461984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINE ROSE M.D.
Provider Business Mailing Address
First Line : 5433 37TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2831
Country : US
Telephone Number : 425-954-6595
Fax Number : 206-844-6454
Provider Business Practice Location Address
First Line : 5433 37TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2831
Country : US
Telephone Number : 259-546-5954
Fax Number : 206-844-6454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2005
Last Update Date : 03/12/2025

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Directions to “ DR. CAROLINE ROSE M.D.” Practice Location

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