Individual
MISS DIANA MARIE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, VANCOUVER DIVISION - V3SATP, PORTLAND, OR 97239-2964
(360) 696-4061
(360) 737-1419
Mailing address
9804 NW 11TH CT, VANCOUVER, WA 98665-6451
(360) 574-5537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 18597
CA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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