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NPI Code Detail

MEDICARE: DR. LEE A. VOGELMAN D.O.

MEDICARE: DR. LEE A. VOGELMAN D.O.
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
1207Q00000XFamily Medicine PhysicianDO22717OR

General Provider Information

NPI Number : 1740224351
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEE A. VOGELMAN D.O.
Provider Business Mailing Address
First Line : PO BOX 2847
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-2847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 920 SW RANGE DR
Second Line :
City : WALDPORT
State : OR
Zip : 97394-9634
Country : US
Telephone Number : 541-563-3197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 11/03/2020

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