Individual
JOHN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1935 E 19TH ST STE 100, THE DALLES, OR 97058-3392
(541) 296-7677
(541) 296-7206
Mailing address
1935 E 19TH ST STE 100, PO BOX 1520, THE DALLES, OR 97058-3392
(541) 296-7677
(541) 296-7206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H3742
TX
207Q00000X
Family Medicine Physician
Primary
MD150489
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126487102
—
TX
05
—
500632165
—
OR
Enumeration date
10/17/2006
Last updated
11/13/2014
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