Individual
GREGORY J LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
296 SW COLUMBIA ST STE D2, BEND, OR 97702-1020
(541) 550-7940
Mailing address
296 SW COLUMBIA ST STE D2, BEND, OR 97702-1020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
101YP2500X
Professional Counselor
Primary
C11530
OR
Other
Enumeration date
01/02/2024
Last updated
05/01/2026
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