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Individual

LOGAN SCOTT MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRM PSS

Contact information

Practice address
1100 JACKSON ST SE, ALBANY, OR 97322-3244
(541) 967-8545
Mailing address
220 PITT ST SE, ALBANY, OR 97322-6532
(541) 967-8545

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4894
OR

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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