KELLY LOGGAN


Address: 2080 Se Oak Grove Blvd, Suite 7, Portland, OR 97267-2657
Phone: 5037869940

KELLY LOGGAN (NPI# 1851753081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851753081
Entity Type Individual
Full Name KELLY LOGGAN
Credential L.M.T.
Practice Address 2080 Se Oak Grove Blvd
Suite 7
Portland
OR 97267-2657
Practice Telephone 5037869940
Practice Fax Number 5037869940
Mailing Telephone 5037869940
Mailing Fax Number 5037869940
Enumeration Date 2016-03-26
Last Update Date 2016-03-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246Z00000X Specialist/Technologist, Other 3609 OR Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 2080 SE OAK GROVE BLVD
SUITE 7
City PORTLAND
State OR
Zip Code 97267-2657

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851911036 Michelle Renee Gilham Massage Therapist 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 2020-04-17
1629557442 Benchmark Physical Therapy of Or, LLC Occupational Therapist 14874 Se Webster Rd, Milwaukie, OR 97267 2018-08-13
1326541764 Theresa Elaine Day Massage Therapist 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 2018-03-12
1881015378 Kathryn Louise Engstrom Registered Nurse 6901 Se Lake Road, Portland, OR 97267 2013-12-30
1285951293 Eliza Ann Rowley Acupuncturist 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 2010-04-29
1346438124 Rx Direct Inc Pharmacy 16246 Se Mcloughlin, Milwaukie, OR 97267 2007-10-05
1477740827 Olson Drug, Inc Durable Medical Equipment & Medical Supplies 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 2007-10-01
1831308451 Jeannie Marie Baer Massage Therapist 16705 Se Mcloughlin, Milwaukie, OR 97267 2007-05-21
1902923667 Matthew William Krueger Specialist/Technologist 4950 Se Roethe Rd., Milwaukie, OR 97267 2007-03-26
1316084049 Renee' Lorena Raschke Counselor 17070se Mcloughlin Blvd., Milwaukie, OR 97267 2007-01-31
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Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487143129 Angelina Lucretia Anderson Specialist/Technologist, Other 191 Ne Grand Ave, Portland, OR 97232-2936 2018-05-08
1760856231 Clifton A. J. Edwards Specialist/Technologist, Other 3347 Ne 164th Loop, Portland, OR 97230-5063 2015-11-21
1841808896 Katirina Guanciale Specialist/Technologist, Other 9115 Sw Oleson Rd, Portland, OR 97223-6875 2020-07-15
1225459589 Victoria Faith Turek Specialist/Technologist, Other 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2014-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306496732 Grady Paul Bunce Specialist/Technologist, Other 2525 Cal Young Rd Fl 3, Eugene, OR 97401-6477 2019-09-17
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1639525140 Molly Ballew Specialist/Technologist, Other 295 E Main, Suite 10, Ashland, OR 97520-0020 2016-05-13
1114373735 Ayako Shimba Specialist/Technologist, Other 2935 Se 73rd Ave, Hillsboro, OR 97123-6223 2016-05-12
1285091009 Bryon Willson Specialist/Technologist, Other 3350 Sw 198th Ave, Beaverton, OR 97003-2348 2016-01-25
1497183362 Faith Tavares Pinkerton Specialist/Technologist, Other 61383 Hwy 97, Suite B, Bend, OR 97702-2597 2013-10-31
1508105735 Mary Elizabeth Smith Specialist/Technologist, Other 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 2013-02-07
1285861609 Maruska Lynch Specialist/Technologist, Other 12395 Se Oatfield Rd, Milwaukie, OR 97222-6954 2009-06-11
1942454400 Valerie Jane Hefner Specialist/Technologist, Other 1949 Ne Lotus Dr, Bend, OR 97701-6127 2008-11-11
1043461189 Michael A Isleman Specialist/Technologist, Other 7137 Sw Sagert St, Tualatin, OR 97062-8297 2008-10-07
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Competitor

Search similar providers

City PORTLAND
Zip Code 97267

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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