MEDICARE: ALEXANDRA ROGERS

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
1	225700000X	Massage Therapist	17338	OR

General Provider Information

NPI Number	:	1275406761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA ROGERS

Provider Business Mailing Address
First Line	:	3304 NE 84TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97220-5241
Country	:	US
Telephone Number	:	971-601-8105
Fax Number	:

Provider Business Practice Location Address
First Line	:	3526 S CORBETT AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-4327
Country	:	US
Telephone Number	:	503-383-4366
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “ ALEXANDRA ROGERS ” Practice Location

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