Individual
JOHN SUTHERLAND OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 N 13TH ST, SHELTON, WA 98584-2077
(360) 426-2653
(888) 985-0681
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
373956-1205
UT
207V00000X
Obstetrics & Gynecology Physician
44235
WI
207V00000X
Obstetrics & Gynecology Physician
63060
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00047723
WA
207V00000X
Obstetrics & Gynecology Physician
MD214999
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34178400
—
WI
Enumeration date
01/24/2007
Last updated
10/09/2025
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