Individual
DR. HEATHER DIANE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11820 SW KING JAMES PL, SUITE 10J, TIGARD, OR 97224-2480
(503) 616-5000
Mailing address
11820 SW KING JAMES PL, SUITE 10J, TIGARD, OR 97224-2480
(503) 616-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6551-15
WI
1223G0001X
General Practice Dentistry
Primary
D9943
OR
Other
Enumeration date
09/01/2011
Last updated
09/23/2013
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