Individual
JENNIFER G RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST STE 610, PORTLAND, OR 97213-2985
(503) 467-4761
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD192487
OR
208600000X
Surgery Physician
MT205850
PA
Other
Enumeration date
04/30/2014
Last updated
12/21/2021
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