Individual
LOGAN GAEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
39 NE 102ND AVE, PORTLAND, OR 97220-4103
(503) 307-9320
Mailing address
3505 SE MORRISON ST, APT 2, PORTLAND, OR 97214-3166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
343558
OR
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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