Look up the most recent NPI and PECOS records

Samuel Rogers

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Samuel Rogers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1023501491
Provider Type
Individual
Full Name
Rogers, Samuel
Gender
Male

Sole Proprietor
No
Enumeration Date
6/11/2018
Last Updated
12/21/2020

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-7481

(503) 494-0822

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-7481

(503) 494-0822

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA195734 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA195734 Oregon

Samuel Rogers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Rozek, Jennifer Christine

Rodgers, Dawn

Kelly, Nicole

Wheeler, Stacey Ann

Fillman, Reid Wilder

Cox, Ashley J

Barclift, Hannah

Aby-Daniel, Diana

Chase, Margot Elizabeth

Hartmann, Kerith J