Individual
GLEE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, CNS
Contact information
Practice address
3426 NE 78TH AVE, PORTLAND, OR 97213-6574
(503) 251-3788
Mailing address
3426 NE 78TH AVE, PORTLAND, OR 97213-6574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200041298
OR
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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