Individual
SONJA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
912 NE KELLY AVE STE 200, GRESHAM, OR 97030
(503) 258-4600
Mailing address
912 NE KELLY AVE STE 200, GRESHAM, OR 97030-5637
(503) 258-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
3414
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2013
Last updated
11/21/2024
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