Healthcare Provider Details

I. General information

NPI: 1487076386
Provider Name (Legal Business Name): SHARI FRANCES ROFINI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2014
Last Update Date: 01/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 NE 7TH AVE STE C-116
VANCOUVER WA
98685-4523
US

IV. Provider business mailing address

9901 NE 7TH AVE STE C-116
VANCOUVER WA
98685-4523
US

V. Phone/Fax

Practice location:
  • Phone: 503-524-3440
  • Fax: 360-573-0404
Mailing address:
  • Phone: 360-524-3440
  • Fax: 360-573-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: