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1912632472
BERT ALAN LOGAN
HILLSBORO, OR
NPI
1912632472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2653)
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
BERT ALAN LOGAN PT, MPT, DPT
9620 NE TANASBOURNE DR STE 300
HILLSBORO, OR 97124-7844
Phone number: 866-839-6979
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Mailing Address
BERT ALAN LOGAN PT, MPT, DPT
PO BOX 2350
ROCKLIN, CA 95677-8350
Phone number: 866-839-6979
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