Individual
DR. JOHN ROBERT LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11212 82ND PL NE, KIRKLAND, WA 98034-3557
(425) 820-7339
Mailing address
11212 82ND PL NE, KIRKLAND, WA 98034-3557
(425) 820-7339
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
CH00001025
WA
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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