Individual
DR. VICTORIA GRACE RODGERS ALLSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 N 5TH ST, LEBANON, OR 97355-2875
(541) 451-6282
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A187106
CA
208000000X
Pediatrics Physician
Primary
MD224526
OR
Other
Enumeration date
03/25/2020
Last updated
03/11/2026
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