Provider Demographics
NPI:1326257254
Name:ROGNESS, PAULA HELEN (ND)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:HELEN
Last Name:ROGNESS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
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Mailing Address - Street 1:19536 44TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-2807
Mailing Address - Country:US
Mailing Address - Phone:206-366-9136
Mailing Address - Fax:206-331-4876
Practice Address - Street 1:1011 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-2017
Practice Address - Country:US
Practice Address - Phone:360-794-4539
Practice Address - Fax:360-805-9600
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WANT00001325175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath