Provider Demographics
NPI:1508031956
Name:OGBORN, ARTHUR CHESTER JR (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:CHESTER
Last Name:OGBORN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-0421
Mailing Address - Country:US
Mailing Address - Phone:509-474-3568
Mailing Address - Fax:509-227-7070
Practice Address - Street 1:844 CENTRAL BLVD STE 420
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7535
Practice Address - Country:US
Practice Address - Phone:956-542-9900
Practice Address - Fax:956-574-0003
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-995372080P0214X, 208D00000X
TXQ05272080P0214X, 208D00000X
WAMD612321042080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice