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Individual

ELAINE A ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
22780 NW MORAN RD, NORTH PLAINS, OR 97133-9102
(503) 267-2781
Mailing address
22780 NW MORAN RD, NORTH PLAINS, OR 97133-9102

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
104100000X
Social Worker

Other

Enumeration date
06/14/2007
Last updated
01/17/2017
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