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NPI Code Detail

MEDICARE: ELDAAH ROGERS

MEDICARE:   ELDAAH  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
1106H00000XMarriage & Family TherapistMG60600724WA

General Provider Information

NPI Number : 1467825414
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELDAAH ROGERS
Provider Business Mailing Address
First Line : 203 N WASHINGTON ST STE 200L
Second Line :
City : SPOKANE
State : WA
Zip : 99201-0233
Country : US
Telephone Number : 509-309-4248
Fax Number :
Provider Business Practice Location Address
First Line : 1212 N WASHINGTON ST
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2403
Country : US
Telephone Number : 509-209-9486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2015
Last Update Date : 06/21/2018

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Directions to “ ELDAAH ROGERS ” Practice Location

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