Organization
MICHAEL O'GARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS O'GARA DO (OWNER)
(541) 247-6628
Entity
Organization
Contact information
Practice address
94125 4TH ST, GOLD BEACH, OR 97444-1215
(541) 247-6628
(541) 247-6629
Mailing address
PO BOX 1215, GOLD BEACH, OR 97444-1215
(541) 247-6628
(541) 247-6629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08605
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278506
—
OR
Enumeration date
12/29/2006
Last updated
06/30/2010
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