Rogers, Brian Thomas

Rogers, Brian Thomas is an individual health care provider with primary practice located at 707 Sw Gaines St , Portland OR 97239-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as his primary health care specialty. Rogers, Brian Thomas can be contacted via phone (800) 452-3563.

Contact Information

Primary practice address
707 Sw Gaines St Portland OR 97239-2901
Phone: (800) 452-3563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X MD23711 Oregon

Profile Details

NPI number 1154428928
LBN Legal business name Rogers, Brian Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154428928 NPPES
Oregon MEDICAID 000217

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