Provider Demographics
NPI:1437722790
Name:VOGLER, ALEXANDRIA MADISON (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:MADISON
Last Name:VOGLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 N ANCHOR WAY APT 612
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-7587
Mailing Address - Country:US
Mailing Address - Phone:704-746-7792
Mailing Address - Fax:
Practice Address - Street 1:1055 N ANCHOR WAY APT 612
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-7587
Practice Address - Country:US
Practice Address - Phone:704-746-7792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR412065225X00000X
WA61111969225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist