Individual
MR. JEFFREY L ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JD, MA, LPC
Contact information
Practice address
3434 SW KELLY AVE, PORTLAND, OR 97239-4630
(503) 806-3344
(503) 768-4411
Mailing address
3434 SW KELLY AVE, PORTLAND, OR 97239-4630
(503) 806-3344
(503) 768-4411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C2346
OR
101YP2500X
Professional Counselor
Primary
C2346
OR
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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