Individual
MR. ERNEST M OGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST EDD
Contact information
Practice address
833 SW TERWILLIGER PL, PORTLAND, OR 97239
(503) 452-1243
Mailing address
833 SW TERWILLIGER PL, PORTLAND, OR 97239
(503) 452-1243
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0876
OR
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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