DAVID J OGLE MD PC


Address: 5500 Se 22nd St, Gresham, OR 97080-8170
Phone: 5036633075

DAVID J OGLE MD PC (NPI# 1942433552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942433552
Entity Type Organization
Organization Name DAVID J OGLE MD PC
Practice Address 5500 Se 22nd St
Gresham
OR 97080-8170
Practice Telephone 5036633075
Practice Fax Number 5036633075
Mailing Telephone 5036633075
Mailing Fax Number 5036633075
Enumeration Date 2009-08-29
Last Update Date 2010-07-21
Authorized Official Name DR. DAVID JEFFREY OGLE (PRESIDENT)
Authorized Official Telephone 5036633075
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
MD20318 OR Ambulatory Health Care Facilities

Office Location

Street Address 5500 SE 22ND ST
City GRESHAM
State OR
Zip Code 97080-8170

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1790949295 Jill Edwards Nd PC Clinic/Center 22400 Se Stark St, Gresham, OR 97030-2656 2008-07-14

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Competitor

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City GRESHAM
Zip Code 97080

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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