Individual
ROLF JETT VOGNILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
17550 GARDNER RD, DALLAS, OR 97338-9432
(503) 623-4084
Mailing address
17550 GARDNER RD, DALLAS, OR 97338-9432
(503) 623-4084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4355
OR
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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