Individual
MR. MICHAEL DAVID ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC1
Contact information
Practice address
1166 46PL SE, SALEM, OR 97301
(503) 269-2440
Mailing address
1166 46PL SE, SALEM, OR 97301
(503) 269-2440
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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