MEDICARE: DR. JANE E VOGEL 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
1	103T00000X	Psychologist	934	OR

General Provider Information

NPI Number	:	1417087024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE E VOGEL PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 50052
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-0967
Country	:	US
Telephone Number	:	541-687-2467
Fax Number	:	541-343-7377

Provider Business Practice Location Address
First Line	:	5 E 24TH AVE
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-2907
Country	:	US
Telephone Number	:	541-687-0041
Fax Number	:	541-343-7377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

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