LOGAN MICHAEL JOHNSTON

PORTLAND, OR
NPI1144834805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2020-09-01
Last Update Date2024-08-26
Business Address
LOGAN MICHAEL JOHNSTON
511 SW 10TH AVE STE 1301
PORTLAND, OR 97205-2780
Phone number: 503-228-0155
Mailing Address
LOGAN MICHAEL JOHNSTON
511 SW 10TH AVE STE 1301
PORTLAND, OR 97205-2780
Phone number: 503-228-0155