Organization
VIKING MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS HOGGARD MD (PRESIDENT)
(503) 297-8751
Entity
Organization
Contact information
Practice address
5560 SW HEWETT BLVD, PORTLAND, OR 97221-2239
(503) 297-8751
Mailing address
5560 SW HEWETT BLVD, PORTLAND, OR 97221-2239
(503) 297-8751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8489
OR
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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