Individual
ALICIA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
Mailing address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-901
OR
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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