Individual
ROBYN SUE BOGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9828 E BURNSIDE ST, SUITE 250, PORTLAND, OR 97216-2354
(503) 254-3424
(503) 254-3635
Mailing address
9828 E BURNSIDE ST, SUITE 250, PORTLAND, OR 97216-2354
(503) 254-3424
(503) 254-3635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01049
OR
225100000X
Physical Therapist
PT00003264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019250
—
OR
01
—
P00836820
RR MEDICARE
OR
Enumeration date
12/07/2005
Last updated
06/05/2015
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