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NPI Code Detail

MEDICARE: ELAINE A ROGERS LCSW

MEDICARE: ELAINE A ROGERS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2104100000XSocial Worker

General Provider Information

NPI Number : 1083818611
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE A ROGERS LCSW
Provider Business Mailing Address
First Line : 22780 NW MORAN RD
Second Line :
City : NORTH PLAINS
State : OR
Zip : 97133-9102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22780 NW MORAN RD
Second Line :
City : NORTH PLAINS
State : OR
Zip : 97133-9102
Country : US
Telephone Number : 503-267-2781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 01/17/2017

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Directions to “ ELAINE A ROGERS LCSW” Practice Location

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