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Mark Bogle
Peer Specialist in Roseburg, Oregon
NPI 1376313528

Mark Bogle is a Peer Specialist based in Roseburg, OR. Mark Bogle practices in Roseburg, OR. The NPI Number for Mark Bogle is 1376313528 and holds a License No. (Oregon).

The current practice location address for Mark Bogle is 621 W Madrone St, Roseburg, OR and can be reached out via phone at 541-672-2691. You can also correspond with Mark Bogle through the mailing address at PO BOX 1121, ROSEBURG, OR - 97470-0254 (mailing address contact number: 541-672-2691).

Location: 621 W Madrone St, Roseburg, OR, 97470-0254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376313528
Provider Name
Mark Bogle
Credential
Provider Entity Type
Individual
Gender
Male
Address
621 W Madrone St, Roseburg, OR, 97470-0254
Phone Number
541-672-2691
Fax Number
Provider Enumeration Date
01/08/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-672-2691
Fax Number
person
Provider Business Mailing Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-672-2691
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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