Individual
MS. BETH ANN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1222 SE DIVISION ST, PORTLAND, OR 97202-1017
(503) 231-9879
Mailing address
2125 N BLANDENA ST, PORTLAND, OR 97217-3451
(503) 484-4068
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25890
OR
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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