Provider Demographics
NPI:1528407079
Name:ROSINBUM, SAVAHN ALEE (ND)
Entity Type:Individual
Prefix:DR
First Name:SAVAHN
Middle Name:ALEE
Last Name:ROSINBUM
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 4TH AVE E
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4212
Mailing Address - Country:US
Mailing Address - Phone:360-943-9519
Mailing Address - Fax:360-943-9534
Practice Address - Street 1:1212 4TH AVE E
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4212
Practice Address - Country:US
Practice Address - Phone:360-943-9519
Practice Address - Fax:360-943-9534
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60383151175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath