Individual
DR. GWENDOLYN ANNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D, LAC
Contact information
Practice address
12570 SW 69TH AVE STE 101, TIGARD, OR 97223-2552
(503) 673-1630
(503) 691-9018
Mailing address
PO BOX 1716, LAKE OSWEGO, OR 97035-3401
(503) 673-1630
(503) 673-8051
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC01269
OR
175F00000X
Naturopath
Primary
1615
OR
Other
Enumeration date
05/08/2008
Last updated
06/15/2021
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