Provider Demographics
NPI:1841445392
Name:GREGOIRE, ROCHELLE RENEE (AAS, HIS)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:RENEE
Last Name:GREGOIRE
Suffix:
Gender:F
Credentials:AAS, HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 350
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-0350
Mailing Address - Country:US
Mailing Address - Phone:425-358-0956
Mailing Address - Fax:877-481-6931
Practice Address - Street 1:1901 S UNION AVE
Practice Address - Street 2:STE. B-2001
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1702
Practice Address - Country:US
Practice Address - Phone:253-272-3090
Practice Address - Fax:253-627-1415
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA 60010599237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist