Individual
STEFANIE T OGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 ROYAL AVE STE 110, MEDFORD, OR 97504-6461
(541) 732-8370
(541) 732-8371
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-8370
(541) 732-8371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A119727
CA
208000000X
Pediatrics Physician
Primary
MD171511
OR
Other
Enumeration date
03/26/2012
Last updated
03/22/2021
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