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Individual

MRS. RUTH E. ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, ARNP, PMHNP-BC

Contact information

Practice address
2503 E EVERGREEN BLVD, VANCOUVER, WA 98661-4322
(360) 694-6416
(833) 553-2040
Mailing address
16309 NE 238TH ST, BATTLE GROUND, WA 98604-4999
(503) 407-7389
(888) 478-9503

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201150111NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60243392
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500652782
OR
05
500658007
OR
Enumeration date
08/12/2011
Last updated
06/27/2019
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