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Theodore Charles Wogan
Family Nurse Practitioner in Medford, Oregon
NPI 1952015471

Theodore Charles Wogan is a Family Nurse Practitioner based in Ashland, OR and is specialized in Family. Theodore Charles Wogan practices in Medford, OR. The NPI Number for Theodore Charles Wogan is 1952015471 and holds a License No. (Oregon).

The current practice location address for Theodore Charles Wogan is 2825 E Barnett Rd, Medford, OR and can be reached out via phone at 541-789-7000.

Location: 2825 E Barnett Rd, Medford, OR, 97520-2066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952015471
Provider Name
Theodore Charles Wogan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2825 E Barnett Rd, Medford, OR, 97520-2066
Phone Number
541-789-7000
Fax Number
Provider Enumeration Date
01/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2825 E Barnett Rd
City
Medford
State
Oregon
Zip
97504-8332
Phone Number
541-789-7000
Fax Number
person
Provider Business Mailing Address Details
Address
2825 E Barnett Rd
City
Medford
State
Oregon
Zip
97504-8332
Phone Number
541-789-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10003883 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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