Individual
ELISABETH I ROGOLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2130 SW 5TH AVE, PORTLAND, OR 97201-4976
(503) 238-0769
Mailing address
3416 NE 11TH AVE, PORTLAND, OR 97212-2239
(503) 282-0533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
QMHP
OR
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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