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1063149755
LOGAN PRIOR
SALEM, OR
NPI
1063149755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 202210823)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
LOGAN PRIOR APRN
945 COLUMBIA ST NE STE 8
SALEM, OR 97301-7205
Phone number: 503-707-1950
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Mailing Address
LOGAN PRIOR APRN
5041 FOOTHILLS RD APT E
LAKE OSWEGO, OR 97034-3215
Phone number:
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