Individual
DIANA DAWN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Mailing address
14999 SW ROYALTY PKWY, P 17, TIGARD, OR 97224-3919
(206) 251-7787
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6347704
AMERICAN COUNSELING ASSOCIATION
OR
Enumeration date
05/06/2013
Last updated
05/06/2013
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