Individual
ROGER GARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 238-5203
Mailing address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 238-5203
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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