Active NPIIndividual provider

Logan H Buckley, DPT

Physical Therapist in Beaverton, Oregon

NPI Number1699256990
Practice location
12345 SW Horizon Blvd Ste 57, Beaverton, OR 97007-9475
Fax
—
Last updated
April 21, 2023

Logan Havel Buckley is a Physical Therapist based in Beaverton, OR. Logan Havel Buckley practices in Beaverton, OR and has the professional credentials of DPT. The NPI Number for Logan Havel Buckley is 1699256990 and holds a License No. 27164 (MD). The current practice location address for Logan Havel Buckley is 12345 SW Horizon Blvd Ste 57, Beaverton, OR 97007-9475 and can be reached out via phone at 503-216-8825.

Provider Profile Details

NPI Number
1699256990
Provider Name
Logan Havel Buckley
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
12345 SW Horizon Blvd Ste 57, Beaverton, OR 97007-9475
Phone Number
503-216-8825
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2018
Last Update Date
April 21, 2023
Certification Date
April 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
12345 SW Horizon Blvd Ste 57
Beaverton, OR 97007-9475
State
Oregon
Zip
97007-9475
Phone Number
503-216-8825
Beaverton, OR 97007Get directions →

Provider Business Mailing Address Details

Address
Po Box 3158
Portland, OR 97208-3158
City
Portland
State
OR
Zip
97208-3158
Phone Number
503-215-6494

License Information

License Number (1)
27164
License State (1)
MD
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
63456
License State (2)
OR
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Logan H Buckley, DPT?

The NPI number of Logan H Buckley, DPT is 1699256990. It was assigned on August 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Logan H Buckley, DPT?

Logan H Buckley, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MD under license number 27164.

Where does Logan H Buckley, DPT practice?

The practice location is 12345 SW Horizon Blvd Ste 57, Beaverton, OR 97007-9475. The office can be reached at 503-216-8825 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699256990 directly on the NPPES registry website.

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