Individual
ROGER R CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3300 VANDENBERG RD, KLAMATH FALLS, OR 97603-3730
(541) 883-5130
Mailing address
13750 SPRINGLAKE RD, KLAMATH FALLS, OR 97603-8806
(541) 891-6462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00512
OR
Other
Enumeration date
10/06/2005
Last updated
05/14/2025
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