Individual
MS. SHARON HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1650 THOMPSON RD, COOS BAY, OR 97420-2170
(541) 269-7212
(541) 267-5260
Mailing address
1650 THOMPSON RD, COOS BAY, OR 97420-2170
(541) 269-7212
(541) 267-5260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
916361
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269828
—
OR
Enumeration date
08/21/2006
Last updated
07/08/2007
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