Individual
PAIGE M ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2529 NE 139TH ST STE 110, VANCOUVER, WA 98686-2719
(206) 616-4001
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61219579
WA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2020
Last updated
09/20/2023
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