Provider Demographics
NPI:1568291458
Name:ROGERS-CLEMENTS, ALONDRA B (DSW, MSW)
Entity type:Individual
Prefix:DR
First Name:ALONDRA
Middle Name:B
Last Name:ROGERS-CLEMENTS
Suffix:
Gender:F
Credentials:DSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17616 VAN TASSEL AVE
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-7848
Mailing Address - Country:US
Mailing Address - Phone:503-757-8496
Mailing Address - Fax:
Practice Address - Street 1:17616 VAN TASSEL AVE
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-7848
Practice Address - Country:US
Practice Address - Phone:503-757-8496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA118911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical