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

KELLY LOGGAN, L.M.T.

Active Sole Proprietor

Specialist/Technologist, Surgical · PORTLAND, OR

Registration Details

NPI Number
1851753081
Provider Type
Individual
Gender
Female
NPI Issued
Mar 26, 2016 (10.074429635011 yrs)
Last Updated
Mar 26, 2016
License
3609 (OR)
Sole Proprietor
Yes

Practice Information

Address
2080 SE OAK GROVE BLVD
SUITE 7
PORTLAND, OR, 972672657
Browse OR providers · Browse ZIP 97267
Phone
5037869940
Fax
5037869940
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X

Other Specialist/Technologist, Surgical Providers in PORTLAND, OR

Name Credential NPI
DR. VICTORIA FAITH TUREK PH.D., CNIM 1225459589
MRS. ANGELINA LUCRETIA ANDERSON CPCP 1487143129
KATIRINA GUANCIALE 1841808896
PINEY KAHN LE 1790465094
NICOLE PAPPAS 1558137596
SHANNON MARIE MILLIGAN CN 1164287884
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.