Individual
DR. RONALD GLENN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
848 OCEAN SHORES BLVD NW, SUITE 1, OCEAN SHORES, WA 98569-9346
(360) 289-2835
(360) 289-0494
Mailing address
PO BOX 1514, OCEAN SHORES, WA 98569-1514
(360) 289-2835
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH00002437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011336
—
WA
01
—
52367
LABOR & INDUSTRIES
WA
Enumeration date
08/24/2006
Last updated
02/23/2011
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