Active NPI
Gwendolyn Anne Rogers, N.D, LAC
- Naturopath
- Tigard, OR
National Provider Identifier
1134395221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1615
- Practice address
- 12570 SW 69TH Ave Ste 101
Tigard, OR 97223-2552 - Phone
- (503) 673-1630
- Fax
- (503) 691-9018
- NPI assigned
- May 8, 2008
- Last updated
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01269 | OR | |
| Naturopath | 175F00000X | 1615 | OR | Primary |
Addresses
Primary practice location
12570 SW 69TH Ave Ste 101
Tigard, OR 97223-2552
Mailing address
PO Box 1716
Lake Oswego, OR 97035-3401
Phone (503) 673-1630
Other names 1
- Dr. Wendy Rogers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1615 | OR | MD | Clinical Psychologist |
| AC01269 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations for Health, LLC | Current | Accepting new patients |
Locations
12570 SW 69th Ave
Ste 101
Tigard, OR 97223
Phone (503) 673-1630
8555 SW Tualatin Rd
Ste B
Tualatin, OR 97062
Phone (503) 691-0901
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1134395221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1716",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353401",
"telephone_number": "503-673-1630",
"fax_number": "503-673-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12570 SW 69TH AVE STE 101",
"city": "TIGARD",
"state": "OR",
"postal_code": "972232552",
"telephone_number": "503-673-1630",
"fax_number": "503-691-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "GWENDOLYN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "N.D, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01269",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "ROGERS",
"prefix": "DR.",
"credential": "N.D, LAC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.