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Individual

ANDREW OGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
6125 NE CORNELL RD STE 250, HILLSBORO, OR 97124-5417
(503) 530-8517
Mailing address
6125 NE CORNELL RD STE 250, HILLSBORO, OR 97124-5417
(503) 530-8517

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20544
OR

Other

Enumeration date
07/06/2015
Last updated
07/06/2015
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