Individual
MS. KATHLEEN E ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, MSN
Contact information
Practice address
8209 SE 138TH DR, PORTLAND, OR 97236-7209
(707) 834-1820
Mailing address
8209 SE 138TH DRIVE, PORTLAND, OR 97236
(707) 834-1820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201140186RN
OR
363L00000X
Nurse Practitioner
Primary
201150007NP
OR
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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