MARY BOGLE
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1083744536- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 520 SW 6TH AVE STE 830, PORTLAND, OR, 972041514
- Phone
- (530) 917-8877
- Fax
- (530) 245-9222
Specialties & Taxonomies
Psychologist, Clinical
Primary License: CA #20469