Individual
KATHERINE E ROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-4661
Mailing address
PO BOX 5000 UNIT 65, PORTLAND, OR 97208
(877) 444-4411
(818) 884-7725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD194170
OR
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
35.131735
OH
Other
Enumeration date
04/02/2014
Last updated
10/09/2025
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