Individual
MR. DEON F LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 255-4205
(503) 262-1951
Mailing address
6505 SE 19TH AVE, PORTLAND, OR 97202-5530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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