Frederickson, Logan Clay
Frederickson, Logan Clay is an individual health care provider with primary practice located at 3705 Midway Dr , Baker City OR 97814-1456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Frederickson, Logan Clay can be contacted via phone (541) 519-4250.Contact Information
Primary practice address
3705 Midway Dr
Baker City OR 97814-1456
Phone: (541) 519-4250
Fax: (541) 239-5259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO176820 | Oregon |
Profile Details
| NPI number | 1609215573 |
|---|---|
| LBN Legal business name | Frederickson, Logan Clay |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2013 |
| Last updated | Feb 1st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609215573 | NPPES |
| Oregon | Other | DO176820 | MEDICAL LICENSE |
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