| Laura Rogers Llc | |
|
1975 Nw 167th Pl Beaverton OR 97006-4908 | |
| (971) 245-3107 | |
| Not Available |
| Full Name | Laura Rogers Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1975 Nw 167th Pl, Beaverton, Oregon |
| Authorized Official Name and Position | Laura Rogers (OWNER) |
| Authorized Official Contact | 9712453107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Rogers Llc 1975 Nw 167th Pl Beaverton OR 97006-4908 Ph: (971) 245-3107 | Laura Rogers Llc 1975 Nw 167th Pl Beaverton OR 97006-4908 Ph: (971) 245-3107 |
| NPI Number | 1104484336 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104484336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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