Individual
KATRINA NICOLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CPD
Contact information
Practice address
13260 SW VILLAGE GLENN DR, TIGARD, OR 97223-6040
(971) 388-3530
Mailing address
13260 SW VILLAGE GLENN DR, TIGARD, OR 97223-6040
(971) 388-3530
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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