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Individual

JOLENE MARIE ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHA

Contact information

Practice address
2700 STEWART PARKWAY, ANNEX B, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554
Mailing address
1600 NW GARDEN VALLEY BLVD, SUITE 110, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Enumeration date
11/08/2010
Last updated
02/12/2016
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