Individual ProviderDawn RodgersPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3181 SW Sam Jackson Park Rd # Uhn73c, Portland, OR 97239-3011(503) 494-1551PECOS EnrollmentBased on the most recent information from CMS, provider Dawn Rodgers does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1609180777Provider TypeIndividualFull NameRodgers, DawnTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date8/1/2010Last Updated1/17/2013Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd # Uhn73c, Portland, OR 97239-3011Phone(503) 494-1551FaxUnlisted FaxMailing LocationMailing Address3181 SW Sam Jackson Park Rd # Uhn73c, Portland, OR 97239-3011Phone(503) 494-1551FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer