Individual
DR. JOHN THOMAS HOGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 SW 257TH AVE, TROUTDALE, OR 97060-1900
(503) 669-6800
(503) 491-2434
Mailing address
PO BOX 730, TROUTDALE, OR 97060-0730
(503) 669-6800
(503) 491-2434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08489
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085878
—
OR
01
—
149167
WA LABOR & INDUSTRY
—
01
—
4011920
AETNA
—
Enumeration date
05/04/2006
Last updated
10/10/2007
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