LAURA NICOLE ROGERS (NPI# 1255887642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255887642 |
| Entity Type | Individual |
| Full Name | LAURA NICOLE ROGERS |
| Credential | PA |
| Practice Address |
17979 Ne Glisan St Portland OR 97230-6507 |
| Mailing Address |
4110 Se Hawthorne Blvd #235 Portland OR 97214-5246 |
| Practice Telephone | 5032152990 |
| Mailing Telephone | 5712436026 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769833 | Laura Rogers | Counselor | 107 Dupree Farm Rd, Buffalo, SC 29321-2712 | 2019-06-13 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1619486214 | Laura Michelle Rogers | Naturopath | 17933 Nw Evergreen Pl Ste 285, Beaverton, OR 97006-7532 | 2017-09-26 |
| 1457707606 | Laura Rogers | Speech-Language Pathologist | 11873 Sunchase Ct, Boca Raton, FL 33498-6815 | 2016-05-06 |
| 1851688998 | Laura Anne Rogers | Behavioral Analyst | 6298 Veterans Pkwy Ste 9b, Columbus, GA 31909-6281 | 2011-07-08 |
| 1225170475 | Laura Colleen Rogers | Psychologist | 1334 Timberlane Rd Ste 5, Tallahassee, FL 32312-1764 | 2007-02-13 |
| 1912992868 | Laura Elizabeth Rogers | Family Medicine | 2130 Kaliste Saloom Rd, Suite 101, Lafayette, LA 70508-6143 | 2005-09-16 |
| 1235760083 | Laura Sophia Rogers | Psychologist | 29 N Academy St, Greenville, SC 29601-2629 | 2020-01-30 |
| 1710454830 | Laura Leah Rogers | Licensed Practical Nurse | 21851 84th Ave S # 101, Kent, WA 98032-1958 | 2018-10-26 |
| 1558872929 | Laura Rogers | Nurse Practitioner | 1340 Broad Ave Ste 300, Gulfport, MS 39501-2404 | 2017-10-12 |
| Street Address |
17979 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-6507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326053307 | Walgreen Co | Pharmacy | 17979 Ne Glisan St, Portland, OR 97230-6507 | 2006-07-29 |
| 1790212983 | Megan Kaye Jasper | Physician Assistant | 17979 Ne Glisan St, Portland, OR 97230 | 2017-05-18 |
| 1013329002 | Olubanke Babalola | Nurse Practitioner | 17979 Ne Glisan St, Portland, OR 97230-6507 | 2014-05-23 |
| 1548685480 | Jigisha Mehta | Pharmacist | 17979 Ne Glisan St, Portland, OR 97230 | 2014-03-01 |
| 1649574443 | Miranda Shea Boeh | Nurse Practitioner | 17979 Ne Glisan St, Portland, OR 97230-6507 | 2011-01-07 |
| 1730412974 | Val M Devogele | Pharmacist | 17979 Ne Glisan St, Portland, OR 97230 | 2009-09-04 |
| 1992964563 | John Patrick Tully | Physician Assistant | 17979 Ne Glisan St, Portland, OR 97230-6507 | 2008-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1336769637 | Molly Tanguay | Physician Assistant | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 |
| 1063040525 | Jessica Nursick | Physician Assistant | 26 Sand Hill Rd, Portland, CT 06480-1737 | 2020-03-31 |
| 1689217630 | Evan Eisher | Physician Assistant | 3809 Se Stephens St, Portland, OR 97214-5248 | 2019-10-22 |
| 1508407941 | Amie Bates | Physician Assistant | 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 | 2019-10-07 |
| 1558923326 | Mackenzie Graye Mcmillin | Physician Assistant | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1306383930 | Rachel Lynn Witowski | Physician Assistant | 2124 Nw Hoyt St, Portland, OR 97210-3215 | 2017-01-20 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.