Individual provider · Type 1 NPI

Samuel Rogers

Medical Physician Assistant · Portland, OR

NPI number 1023501491 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-7481 Map

Fax (503) 494-0822

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA195734 (OR)
Medical Physician Assistant Primary 363AM0700XPA195734 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1023501491

Samuel Rogers's National Provider Identifier is 1023501491, issued on Jun 11, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Dec 21, 2020.