Most Relevant Information
Provider Data
NPI Number: | 1003029950 |
Provider Name: | AMY L. HOGER PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 2055 |
Most Important Dates
Enumeration Date: | 05/08/2007 |
Last Updated: | 01/25/2023 |
Provider Practice Location
550 GAGE BLVD
RICHLAND
WA
993529532
Practice Location Phone/Fax
Phone: | 5096281362 |
Fax: | 5099467666 |
Provider Mailing Location
PO BOX 5999
PORTLAND
OR
972285999
Provider Mailing Phone/Fax
Phone: | 5415002500 |
Fax: | 5415002700 |