| Dr. Wendy Rogers | |
|
12570 Sw 69th Ave Ste 101 Tigard OR 97223-2552 | |
| (503) 673-1630 | |
| (503) 673-8051 |
| Full Name | Dr. Wendy Rogers |
|---|---|
| Speciality | Clinic/center |
| Location | 12570 Sw 69th Ave Ste 101, Tigard, Oregon |
| Authorized Official Name and Position | Gwendolyn Anne Rogers (OWNER) |
| Authorized Official Contact | 5039753256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Wendy Rogers Po Box 1716 Lake Oswego OR 97035-0576 Ph: (503) 673-1630 | Dr. Wendy Rogers 12570 Sw 69th Ave Ste 101 Tigard OR 97223-2552 Ph: (503) 673-1630 |
| NPI Number | 1770194763 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770194763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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