Provider Demographics
NPI:1285042432
Name:ROJAS, RYOKO S
Entity Type:Individual
Prefix:
First Name:RYOKO
Middle Name:S
Last Name:ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25924 STATE HIGHWAY 3 NW
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-6820
Mailing Address - Country:US
Mailing Address - Phone:360-473-7735
Mailing Address - Fax:
Practice Address - Street 1:20270 FRONT ST NE
Practice Address - Street 2:#202
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7356
Practice Address - Country:US
Practice Address - Phone:360-860-0150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist