Individual
MICHAEL K RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 NE 19TH ST, MCMINNVILLE, OR 97128-9927
(503) 435-1077
(503) 883-5831
Mailing address
207 NE 19TH ST, MCMINNVILLE, OR 97128-9927
(503) 435-4514
(503) 435-6349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19975
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00239977
RR MEDICARE
OR
Enumeration date
07/12/2006
Last updated
12/09/2019
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