Individual
JUSTIN HOGGARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1315 NW 4TH ST APT B, REDMOND, OR 97756-1328
(541) 504-2350
(541) 504-2354
Mailing address
805 SW INDUSTRIAL WAY STE 3, BEND, OR 97702-1093
(541) 504-2350
(541) 504-2354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60423
OR
Other
Enumeration date
12/18/2013
Last updated
07/27/2020
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