{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DAVID J OGLE MD PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "5500 SE 22ND ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRESHAM",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97080-8170",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-663-3075",
"MailingAddressFaxNumber": "503-663-3075",
"FirstLinePracticeLocationAddress": "5500 SE 22ND ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GRESHAM",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97080-8170",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-663-3075",
"PracticeLocationAddressFaxNumber": "503-663-3075",
"EnumerationDate": "08/29/2009",
"LastUpdateDate": "07/21/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OGLE",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "JEFFREY",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "503-663-3075",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "MD20318",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}