KEBRA RENEE ROGERS (NPI# 1497223663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497223663 |
| Entity Type | Individual |
| Full Name | KEBRA RENEE ROGERS |
| Credential | OT |
| Practice Address |
2330 Nw Flanders St Ste G1 Portland OR 97210-3441 |
| Practice Telephone | 5032249270 |
| Practice Fax Number | 5032249271 |
| Mailing Telephone | 5032249270 |
| Mailing Fax Number | 5032249271 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
409614 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Se 80th Ave, Portland, OR 972151526 | 5035950570 | 0355950573 |
| 403 Se Baseline St, Hillsboro, OR 971234103 | 5036488449 | 5036817933 |
| Street Address |
2330 NW FLANDERS ST STE G1 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033583240 | Leslie Ann Harvell | Occupational Therapist | 2330 Nw Flanders St Ste G1, Portland, OR 97210-3441 | 2015-11-25 |
| 1295202737 | Faye Dahuyag | Occupational Therapist | 2330 Nw Flanders St Ste G1, Portland, OR 97210-3441 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033410709 | Marta Bogrand | Occupational Therapist | 2525 Nw Lovejoy St Ste 205, Portland, OR 97210-2863 | 2010-11-10 |
| 1225190994 | Hands On Upper Extremity Rehab LLC | Occupational Therapist | 17020 Sw Upper Boones Ferry Rd, Suite 102, Portland, OR 97224-7078 | 2006-12-15 |
| 1700891165 | Ryan Douglas Glover Armworks Hand Therapy | Occupational Therapist | 11300 Ne Halsey St Ste 102, Portland, OR 97220-2013 | 2006-07-31 |
| 1215910948 | Julie E Teal | Occupational Therapist | 2330 Nw Flanders St, Ste G-1, Portland, OR 97210-3442 | 2005-11-28 |
| 1104446392 | Jennifer Crawford | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-17 |
| 1346879236 | Kelly Ann Dunbar | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-03 |
| 1295202737 | Faye Dahuyag | Occupational Therapist | 2330 Nw Flanders St Ste G1, Portland, OR 97210-3441 | 2018-11-01 |
| 1740760610 | Ruthann Marino Marquis | Occupational Therapist | 9135 Sw Barnes Rd Ste 362, Portland, OR 97225-6683 | 2018-08-20 |
| 1063745040 | Catherine Morrell | Occupational Therapist | 33 Sewall St, Portland, ME 04102-2603 | 2009-09-09 |
| 1952595274 | Amy L Rinder | Occupational Therapist | 2330 Nw Flanders St, Ste G1, Portland, OR 97210-3442 | 2007-08-29 |
| 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.