Individual
JONATHAN STUART ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.SC.
Contact information
Practice address
24800 SE STARK ST FL 3, LEGACY INPATIENT MEDICINE SERVICE, GRESHAM, OR 97030-3378
(503) 413-3882
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD158345
OR
208M00000X
Hospitalist Physician
MD158345
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648364
—
OR
Enumeration date
05/21/2009
Last updated
07/09/2019
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