Provider Demographics
NPI:1700278173
Name:ROHLMAN, YVONNE (#MA60537314)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:ROHLMAN
Suffix:
Gender:F
Credentials:#MA60537314
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2641 42ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4901
Mailing Address - Country:US
Mailing Address - Phone:206-499-0252
Mailing Address - Fax:
Practice Address - Street 1:2641 42ND AVE SW
Practice Address - Street 2:#405
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4901
Practice Address - Country:US
Practice Address - Phone:206-499-0252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60537314172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker