| Doctor Name: | DR. MARY B RODGERS |
| NPI Number: | 1942451463 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | TRN11031 |
| Business Practice Address: | 2700 Northup Way Bellevue, WA - 980041463 |
| Business Phone Number: | 4258274600 |
| Business Fax Number: | 4258282256 |
| Mailing Address: | 14711 Ne 29th Pl, Suite #255 BELLEVUE |
| State: | WA |
| Postal Code: | 980077666 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2008 |
| NPI Last Update Date: | 02/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | TRN11031 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |