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1053063487
TIMOTHY A A ROGERS
PORTLAND, OR
NPI
1053063487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ lmsw-18262)
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
TIMOTHY A A ROGERS
1505 NE 122ND AVE
PORTLAND, OR 97230-1911
Phone number: 503-688-5361
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Mailing Address
TIMOTHY A A ROGERS
1505 NE 122ND AVE
PORTLAND, OR 97230-1911
Phone number: 503-688-5361
Copy
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