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Individual

LOGAN LEIGH VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9427 SW BARNES RD STE 495, PORTLAND, OR 97225-6612
(503) 962-1000
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD208450
OR
207R00000X
Internal Medicine Physician
MD60579478
WA
207RC0000X
Cardiovascular Disease Physician
MD208450
OR
207RC0000X
Cardiovascular Disease Physician
MD60579478
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD208450
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164764288
WA
Enumeration date
03/27/2013
Last updated
06/09/2025
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