Most Relevant Information
Provider Data
| NPI Number: | 1003448168 |
| Provider Name: | MADELYN VOGT LMT, CA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | LMT-23591 |
Most Important Dates
| Enumeration Date: | 02/06/2020 |
| Last Updated: | 02/06/2020 |
Provider Practice Location
862 SE OAK STREET
SUITE 2A
HILLSBORO
OR
97123
Practice Location Phone/Fax
| Phone: | 5036486997 |
| Fax: |
Provider Mailing Location
862 SE OAK STREET
SUITE 2A
HILLSBORO
OR
97123
Provider Mailing Phone/Fax
| Phone: | 5036486997 |
| Fax: |