Individual
DYLAN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5050 NE HOYT ST, SUITE 156, PORTLAND, OR 97213-2991
(503) 215-6488
(503) 215-6485
Mailing address
115 NE 57TH AVE, PORTLAND, OR 97213-3709
(503) 234-7370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5001
OR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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