Individual
JASON HOGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 249-5210
(320) 240-3165
Mailing address
1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303-4913
(320) 420-3157
(320) 240-3165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
75437
MN
207Q00000X
Family Medicine Physician
Primary
MD61678884
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2022
Last updated
06/30/2025
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