Theodore Charles Wogan
Theodore Charles Wogan is a Nurse Practitioner in Medford, Oregon. Qualified in 2022, 4 years ago. Practices with Southern Oregon Cardiology LLC, a 27-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.
- Years since qualifying
- 4
- Licensed in
- OR
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2825 E Barnett RdMedford, OR 97504-8332
Phone: (541) 789-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 10003883 (OR) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1952015471 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 9, 2023 |
| Last updated in NPPES | February 2, 2023 |
| Certification date | February 2, 2023 |
| Mailing address | 24 Emerick St, Ashland, OR 97520-2066 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Southern Oregon Cardiology Llc — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Medford
-
Amanda Nicole Taylor, PA-C
3011 E Barnett Rd, Medford, OR 97504 · (541) 789-4673
-
Gladys Beatriz Vasquez Martell, RN, BSN
1111 Crater Lake Ave, Medford, OR 97504-6241 · (541) 732-5000
-
Alberto Vazquez-Molina
900 E Main St, Medford, OR 97504-7136 · (541) 842-7705
-
Alexander J Wilson, MD
2825 E Barnett Rd, Medford, OR 97504-8332 · (541) 789-7000
-
Mallori R Woodall
815 Bennett Ave, Medford, OR 97504-6715 · (541) 423-2667