Individual
DAVID STEPHEN BOGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
58147 COLUMBIA RIVER HWY, STE A, SAINT HELENS, OR 97051-6226
(503) 397-1914
(503) 366-0422
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0895
OR
225100000X
Physical Therapist
Primary
PT00003263
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019259
—
OR
05
—
1265415004
—
WA
Enumeration date
11/25/2005
Last updated
11/01/2012
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