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TIMOTHY A A ROGERS

Individual Provider (NPI-1) Active

Counselor, Mental Health

Provider Information

NPI Number
1053063487
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1505 NE 122ND AVE, PORTLAND, OR, 972301911
Phone
(503) 688-5361

Specialties & Taxonomies

Counselor, Mental Health Primary License: AZ #lmsw-18262

All Addresses

MAILING

1505 NE 122ND AVE

PORTLAND, OR, 972301911

(503) 688-5361

LOCATION

1505 NE 122ND AVE

PORTLAND, OR, 972301911

(503) 688-5361