Individual
MRS. MARYANN WHIPPLE OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682
(360) 418-6000
Mailing address
8704 N PORTSMOUTH AVE, PORTLAND, OR 97203
(312) 533-8992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 60292820
WA
207R00000X
Internal Medicine Physician
MD157843
OR
208M00000X
Hospitalist Physician
Primary
MD157843
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500650713
—
OR
Enumeration date
04/29/2009
Last updated
04/18/2017
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