LOGAN MICHAEL JOHNSTON

TIGARD, OR
NPI1144834805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2020-09-01
Last Update Date2021-12-15
Business Address
LOGAN MICHAEL JOHNSTON
9735 SW SHADY LN STE 102
TIGARD, OR 97223-5481
Phone number: 503-620-5614
Mailing Address
LOGAN MICHAEL JOHNSTON
9735 SW SHADY LN STE 102
TIGARD, OR 97223-5481
Phone number: 503-620-5614
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