Individual
RAINIE A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1303 NE CUSHING DR, SUITE 100, BEND, OR 97701-3887
(541) 388-2333
(541) 330-8230
Mailing address
1303 NE CUSHING DR, SUITE 100, BEND, OR 97701-3887
(541) 388-2333
(541) 330-8230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01217
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352912
ANTHEM
—
01
—
7009628
AETNA
—
Enumeration date
11/02/2005
Last updated
09/11/2018
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