Individual
ANISSA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSW, MA, LCSW
Contact information
Practice address
3220 NW 185TH AVE, SUITE 100, PORTLAND, OR 97229-3492
(971) 470-9067
Mailing address
3220 NW 185TH AVE, SUITE 100, PORTLAND, OR 97229-3492
(971) 470-9067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3177
OR
Other
Enumeration date
11/28/2015
Last updated
11/30/2015
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