NPI 1184010191

Derek Knight Rogalsky, MD

Practitioner Surgery Physician Coos Bay, OR

Practice location

Address: 1900 Woodland Dr, Coos Bay, OR 97420-2045
Phone: (541) 267-5151
Mailing address: 3181 SW Sam Jackson Park Rd Ohsu, Portland, OR 97239

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD196450 (OR)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1184010191
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2015
Record last updated: 30 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.