Individual ProviderRoxanne GhazvinianInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1321 Colby Ave Fl 3, Everett, WA 98201-1665(425) 261-2000PECOS EnrollmentBased on the most recent information from CMS, provider Roxanne Ghazvinian is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1225561038Provider TypeIndividualFull NameGhazvinian, RoxanneCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/7/2017Last Updated5/19/2021Contact InformationPractice LocationPractice Address1321 Colby Ave Fl 3, Everett, WA 98201-1665Phone(425) 261-2000Fax(425) 261-4078Mailing LocationMailing AddressPO Box 5127, Everett, WA 98206-5127Phone(425) 261-2000Fax(425) 261-4078Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD61052121WashingtonCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense10964162-1205UtahCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseMD61052121Washington