Individual
DR. STEPHEN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 NW SAMARITAN DR, DEPT. OF PATHOLOGY, CORVALLIS, OR 97330-3737
(541) 768-5571
Mailing address
4194 NW WIDGEON PL, CORVALLIS, OR 97330-3394
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
MD14646
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD14646
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287115
—
OR
Enumeration date
04/02/2007
Last updated
05/14/2008
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