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Individual

CIERRA HIBBS-PORTER-ROGGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-8400
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201904964NP-PP
OR

Other

Enumeration date
07/19/2019
Last updated
09/27/2019
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