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Individual

LOGAN PRIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
945 COLUMBIA ST NE STE 8, SALEM, OR 97301-7205
(503) 707-1950
Mailing address
5041 FOOTHILLS RD APT E, LAKE OSWEGO, OR 97034-3215

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202210823
OR

Other

Enumeration date
08/03/2022
Last updated
08/03/2022
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