| David J. Ogle, Md | |
|
10748 Ne Halsey St Portland OR 97220-3961 | |
| (503) 261-0966 | |
| (503) 252-2691 |
| Full Name | David J. Ogle, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 10748 Ne Halsey St, Portland, Oregon |
| Authorized Official Name and Position | David J Ogle (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5032610966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Ogle, Md 10748 Ne Halsey St Portland OR 97220-3961 Ph: (503) 261-0966 | David J. Ogle, Md 10748 Ne Halsey St Portland OR 97220-3961 Ph: (503) 261-0966 |
| NPI Number | 1164455606 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164455606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD20318 (Oregon) | Primary |
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