Provider Demographics
NPI:1528712213
Name:ROGERS, MEGAN (DPT)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:HILDOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:609 NE BAKER ST STE 140
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4907
Mailing Address - Country:US
Mailing Address - Phone:503-472-0848
Mailing Address - Fax:503-472-1653
Practice Address - Street 1:609 NE BAKER ST STE 140
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4907
Practice Address - Country:US
Practice Address - Phone:503-472-0848
Practice Address - Fax:503-472-1653
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist