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1649708710
LOGAN W GUCKIEN
PORTLAND, OR
NPI
1649708710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD200586)
Enumeration Date
2017-06-01
Last Update Date
2021-03-10
Business Address
LOGAN W GUCKIEN MD
5050 NE HOYT ST STE 454
PORTLAND, OR 97213-2984
Phone number: 503-215-6405
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Mailing Address
LOGAN W GUCKIEN MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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