Individual
SHASTA VOGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 SW 37TH ST, PENDLETON, OR 97801-3605
(541) 276-3374
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08817
OR
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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