Provider Demographics
NPI:1962608067
Name:OGAO, JARED (MD)
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:
Last Name:OGAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3000 BRYANT WILLIAMS DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-1139
Mailing Address - Country:US
Mailing Address - Phone:541-274-2345
Mailing Address - Fax:541-274-4666
Practice Address - Street 1:3000 BRYANT WILLIAMS DR
Practice Address - Street 2:SUITE 110
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1139
Practice Address - Country:US
Practice Address - Phone:541-274-2345
Practice Address - Fax:541-274-4666
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2013-10-08
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Provider Licenses
StateLicense IDTaxonomies
ORMD164804208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery