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NPI Code Detail

MEDICARE: DR. SHEILA POGGE PH.D.

MEDICARE:  DR. SHEILA  POGGE  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist077389IA
2103T00000XPsychologist3951OR

General Provider Information

NPI Number : 1235513011
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHEILA POGGE PH.D.
Provider Business Mailing Address
First Line : 62930 OB RILEY RD STE 200
Second Line :
City : BEND
State : OR
Zip : 97703-9459
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 62930 OB RILEY RD STE 200
Second Line :
City : BEND
State : OR
Zip : 97703-9459
Country : US
Telephone Number : 541-330-1919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2015
Last Update Date : 05/22/2025

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Directions to “ DR. SHEILA POGGE PH.D.” Practice Location

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