Organization
DAVID J OGLE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JEFFREY OGLE MD (PRESIDENT)
(503) 663-3075
Entity
Organization
Contact information
Practice address
5500 SE 22ND ST, GRESHAM, OR 97080-8170
(503) 663-3075
(503) 663-3075
Mailing address
5500 SE 22ND ST, GRESHAM, OR 97080-8170
(503) 663-3075
(503) 663-3075
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD20318
OR
Other
Enumeration date
08/29/2009
Last updated
07/21/2010
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