Hogan, Katherine Marie

Hogan, Katherine Marie is an individual health care provider with primary practice located at 600 Ne 8Th St , Gresham OR 97030-7317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hogan, Katherine Marie can be contacted via phone (503) 988-5155.

Contact Information

Primary practice address
600 Ne 8Th St Gresham OR 97030-7317
Fax: (503) 988-5185
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD28059 Oregon

Profile Details

NPI number 1770786220
LBN Legal business name Hogan, Katherine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Nov 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770786220 NPPES
Oregon MEDICAID 500601178

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