Individual
LAUREL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, QMHP
Contact information
Practice address
11456 NE KNOTT ST, PORTLAND, OR 97220-1706
(503) 736-6548
(503) 256-9601
Mailing address
11456 NE KNOTT ST, PORTLAND, OR 97220-1706
(503) 736-6548
(503) 256-9601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
01/02/2013
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