Individual
ROGELIO OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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