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Individual

PENELOPE HOGARTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7772
Mailing address
3181 SW SAM HACKSON PARK RD., MAILCODE OP32 OHSU, PORTLAND, OR 97239
(503) 494-7231
(503) 494-9059

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD22650
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287954
OR
Enumeration date
10/09/2006
Last updated
12/10/2008
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