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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOGAN CLAY FREDERICKSON, DO

Active

LOGAN CLAY FREDERICKSON, DO is a Family Medicine healthcare provider located in BAKER CITY, Oregon. NPI 1609215573 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BAKER CITY, OR

Registration Details

NPI Number
1609215573
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2013 (13.139020685359 yrs)
Last Updated
Feb 1, 2024
License
DO176820 (OR)

Practice Information

Address
3705 MIDWAY DR
BAKER CITY, OR, 978141456
Browse OR providers · Browse ZIP 97814
Phone
5415194250
Fax
5412395259
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BAKER CITY, OR

Name Credential NPI
MR. J DANIEL SMITHSON MD 1427046820
MR. ERIC R. LAMB MD 1750379244
JONATHAN D SCHOTT MD 1710975024
MICHAEL HUGH MCQUEEN MD 1497720460
KAARE E TINGELSTAD DO 1306891783
DR. JON ERIC PETTERSON M.D. 1699709253
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.