TIMOTHY A A ROGERS

PORTLAND, OR
NPI1053063487
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  lmsw-18262)
Enumeration Date2022-01-26
Last Update Date2022-01-26
Business Address
TIMOTHY A A ROGERS
1505 NE 122ND AVE
PORTLAND, OR 97230-1911
Phone number: 503-688-5361
Mailing Address
TIMOTHY A A ROGERS
1505 NE 122ND AVE
PORTLAND, OR 97230-1911
Phone number: 503-688-5361