Healthcare Provider Details

I. General information

NPI: 1225993900
Provider Name (Legal Business Name): ROZA GETACHEW BATERINI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16704 60TH AVE W
LYNNWOOD WA
98037-8313
US

IV. Provider business mailing address

16704 60TH AVE W
LYNNWOOD WA
98037-8313
US

V. Phone/Fax

Practice location:
  • Phone: 206-724-7653
  • Fax: 425-245-7130
Mailing address:
  • Phone: 206-724-7653
  • Fax: 425-245-7130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number758633
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: