person
Logan Shane
Mental Health Counselor in Bend, Oregon
NPI 1942770706

Logan Shane is a Mental Health Counselor based in Bend, OR and is specialized in Mental Health. Logan Shane practices in Bend, OR. The NPI Number for Logan Shane is 1942770706 and holds a License No. C6266 (Oregon).

The current practice location address for Logan Shane is 2577 Ne Courtney Dr, Bend, OR and can be reached out via phone at 541-322-7500 and via fax at 541-322-7565.

Location: 2577 Ne Courtney Dr, Bend, OR, 97701-7752
person
Provider Profile Details
NPI Number
1942770706
Provider Name
Logan Shane
Credential
Provider Entity Type
Individual
Gender
Male
Address
2577 Ne Courtney Dr, Bend, OR, 97701-7752
Phone Number
541-322-7500
Fax Number
541-322-7565
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2577 Ne Courtney Dr
City
State
Zip
97701-7752
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider Business Mailing Address Details
Address
2577 Ne Courtney Dr
City
State
Zip
97701-7752
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C6266 (Oregon)
Definition
Definition to come...
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