Individual
DR. KENNETH E. LOGUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
331 SE 3RD AVE, HILLSBORO, OR 97123-4001
(503) 640-6066
(503) 640-8506
Mailing address
331 SE 3RD AVE, HILLSBORO, OR 97123-4001
(503) 640-6066
(503) 640-8506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5643
OR
Other
Enumeration date
09/19/2005
Last updated
07/08/2007
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