| NPI | 1972927606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R LOGAN Sole Proprietor 206-622-2305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: WA CH00001025) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |