| David J Ogle Md Pc | |
|
5500 Se 22nd St Gresham OR 97080-8170 | |
| (503) 663-3075 | |
| (503) 663-3075 |
| Full Name | David J Ogle Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5500 Se 22nd St, Gresham, Oregon |
| Authorized Official Name and Position | David Jeffrey Ogle (PRESIDENT) |
| Authorized Official Contact | 5036633075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J Ogle Md Pc 5500 Se 22nd St Gresham OR 97080-8170 Ph: (503) 663-3075 | David J Ogle Md Pc 5500 Se 22nd St Gresham OR 97080-8170 Ph: (503) 663-3075 |
| NPI Number | 1942433552 |
|---|---|
| Provider Enumeration Date | 08/29/2009 |
| Last Update Date | 07/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942433552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD20318 (Oregon) | Primary |
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