Healthcare Provider Details

I. General information

NPI: 1952848772
Provider Name (Legal Business Name): KAREN LAROCHE' RRT-ACCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 01/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

8002 211TH STREET CT E
SPANAWAY WA
98387-5322
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-3736
  • Fax:
Mailing address:
  • Phone: 253-677-4877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberLR00001535
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: