Individual
KIMBERLY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(503) 659-0073
Mailing address
15700 SE MCKINLEY AVE, CLACKAMAS, OR 97015-8437
(503) 871-9366
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21606
OR
Other
Enumeration date
12/30/2015
Last updated
01/07/2016
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