JOHN DAVIS POGUE NPI 1063984326

NPI Information

NPI: 1063984326
Provider Name: JOHN DAVIS POGUE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
503 AIRPORT RD STE 102
MEDFORD, OR
ZIP 97504
Phone: (541) 858-8170
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John Davis Pogue is a mental health counselor in Medford, OR. John Davis Pogue NPI is 1063984326. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

503 AIRPORT RD STE 102
MEDFORD, OR
ZIP 97504-159
Phone: (541) 858-8170

The enumeration date for this NPI number is 12/27/2018 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101YM0800X	Counselor	Mental Health		OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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