Johnston, Logan Michael

Johnston, Logan Michael is an individual health care provider with primary practice located at 9735 Sw Shady Ln Ste 102 , Tigard OR 97223-5481. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Johnston, Logan Michael can be contacted via phone (503) 620-5614.

Contact Information

Primary practice address
9735 Sw Shady Ln Ste 102 Tigard OR 97223-5481
Phone: (503) 620-5614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1144834805
LBN Legal business name Johnston, Logan Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2020
Last updated Dec 15th, 2021 - about 4 years ago

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.

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