Organization Active NPI

David J Ogle MD PC

  • Primary Care Clinic/Center
  • Gresham, OR
National Provider Identifier
1942433552
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD20318 Issued in OR
Legal business name
DAVID J OGLE MD PC
Practice address
5500 SE 22ND St
Gresham, OR 97080-8170
Phone
(503) 663-3075
Fax
(503) 663-3075
NPI assigned
Aug 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Jeffrey Ogle, MD
Title
President
Phone
(503) 663-3075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD20318 OR Primary

Addresses

Primary practice location

5500 SE 22ND St
Gresham, OR 97080-8170

Mailing address

5500 SE 22ND St
Gresham, OR 97080-8170
Phone (503) 663-3075

National Provider Directory

National Provider Directory

Locations

25500 SE Stark St
Ste 202
Gresham, OR 97030
Phone (503) 489-5930

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1942433552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SE 22ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808170",
            "telephone_number": "503-663-3075",
            "fax_number": "503-663-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SE 22ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808170",
            "telephone_number": "503-663-3075",
            "fax_number": "503-663-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J OGLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-29",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-663-3075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD20318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.