Individual
CARRIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 663-3174
Mailing address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 663-3174
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
14-0728
OR
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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