person
Logan Michael Johnston
Medical Physician Assistant in Tigard, Oregon
NPI 1144834805

Logan Michael Johnston is a Medical Physician Assistant based in Tigard, OR and is specialized in Medical. Logan Michael Johnston practices in Tigard, OR. The NPI Number for Logan Michael Johnston is 1144834805 and holds a License No. (Oregon).

The current practice location address for Logan Michael Johnston is 9735 Sw Shady Ln Ste 102, Tigard, OR and can be reached out via phone at 503-620-5614. You can also correspond with Logan Michael Johnston through the mailing address at 9735 SW SHADY LN STE 102, TIGARD, OR - 97223-5481 (mailing address contact number: 503-620-5614).

Location: 9735 Sw Shady Ln Ste 102, Tigard, OR, 97223-5481
person
Provider Profile Details
NPI Number
1144834805
Provider Name
Logan Michael Johnston
Credential
Provider Entity Type
Individual
Gender
Male
Address
9735 Sw Shady Ln Ste 102, Tigard, OR, 97223-5481
Phone Number
503-620-5614
Fax Number
Provider Enumeration Date
09/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9735 Sw Shady Ln Ste 102
City
State
Zip
97223-5481
Phone Number
503-620-5614
Fax Number
person
Provider Business Mailing Address Details
Address
9735 Sw Shady Ln Ste 102
City
State
Zip
97223-5481
Phone Number
503-620-5614
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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