Individual provider · Type 1 NPI

Theodore Charles Wogan

Family Nurse Practitioner · Medford, OR

NPI number 1952015471 Active

Practice location

2825 E Barnett Rd
Medford, OR 97504-8332

Mailing address

24 Emerick St
Ashland, OR 97520-2066

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X10003883 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1952015471

Theodore Charles Wogan's National Provider Identifier is 1952015471, issued on Jan 9, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Medford, OR. The record was last updated on Feb 2, 2023.