David J Ogle MD PC

NPI #1942433552 in Gresham, Oregon

Provider Information

NPI Number: 1942433552
Entity Type: Organization
Organization Name: David J Ogle MD PC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 29, 2009
Last Updated: Jul 21, 2010

Practice Location

Address: 5500 SE 22ND ST
City: Gresham
State: Oregon
ZIP Code: 97080-8170
Phone: (503) 663-3075

Authorized Official

Name: DR. DAVID JEFFREY OGLE, MD
Title: PRESIDENT
Phone: (503) 663-3075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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