Individual
DR. JEFFREY P BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1080 MOUNT BACHELOR DR, BEND, OR 97702-3280
(541) 550-4400
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD12449
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00849835
MEDICARE RAILROAD
OR
05
—
075986
—
OR
Enumeration date
08/31/2006
Last updated
09/12/2013
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