Kaitlyn E Bogardus, PA-C

NPI #1962978866 in Roseburg, Oregon

Provider Information

NPI Number
1962978866
Entity Type
Individual
Name
Kaitlyn E Bogardus, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 17, 2018
Last Updated
Jun 10, 2019

Practice Location

Address
2570 NW EDENBOWER BLVD STE 100
State
Oregon
ZIP Code
97471-6214
Phone
(541) 677-7200

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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