LOGAN CLAY FREDERICKSON

BAKER CITY, OR
NPI1609215573
Former NameLOGAN CLAY WILLIAMS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO176820)
Enumeration Date2013-06-24
Last Update Date2024-02-01
Business Address
LOGAN CLAY FREDERICKSON DO
3705 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-519-4250
Mailing Address
LOGAN CLAY FREDERICKSON DO
3705 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-519-4250