Healthcare Provider Details

I. General information

NPI: 1952247686
Provider Name (Legal Business Name): ROXANA MOGHARRABIN NAJAFABADI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 BICKFORD AVE STE A
SNOHOMISH WA
98290-1766
US

IV. Provider business mailing address

2709 BICKFORD AVE STE A
SNOHOMISH WA
98290-1766
US

V. Phone/Fax

Practice location:
  • Phone: 425-537-4805
  • Fax:
Mailing address:
  • Phone: 425-537-4805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number70139494
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: