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Active NPI 1942433552 Organization (Entity Type 2)

David J Ogle Md Pc

Clinic/Center - Primary Care • Gresham, OR

About David J Ogle Md Pc NPI 1942433552 Summary

David J Ogle Md Pc is a verified healthcare organization specializing in Clinic/Center - Primary Care operating in Gresham, OR. Located at 5500 SE 22ND ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1942433552.

Administrative operations and authorized compliance are overseen by David Ogle (President).

Facility Location & Contact Primary Location

Facility Address

5500 Se 22nd St

Gresham, OR 970808170

Telephone 5036633075

Fax 5036633075

Authorized Official Information

Authorized Contact Name

DR. David Ogle , MD

Title / Role

President

Official Telephone

5036633075

Facility Classifications & Specialties

Clinic/Center - Primary Care Primary Taxonomy

NUCC Taxonomy Code: 261QP2300X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 21, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 21, 2010

Registered at 5500 SE 22ND ST, GRESHAM, OR 970808170 (Tel: 5036633075)

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Updated Business Mailing Address July 21, 2010

Registered at 5500 SE 22ND ST, GRESHAM, OR 970808170 (Tel: 5036633075)

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Organization / Clinic Name Updated July 21, 2010

Operating as DAVID J OGLE MD PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2010

Clinic/Center (License #MD20318 in OR)

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Initial NPI Registration & Enumeration August 29, 2009

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1942433552

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: August 29, 2009

Last Update: July 21, 2010

Update or Correct Listing

Mailing Address

5500 Se 22nd St

Gresham, OR 970808170

Phone: 5036633075

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.