Individual
LOGAN MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2925 RYAN DR SE, SALEM, OR 97301-9687
(503) 399-1262
Mailing address
PO BOX 12989, SALEM, OR 97309-0989
(503) 399-1262
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
PA227644
OR
363A00000X
Physician Assistant
Primary
PA227644
—
Other
Enumeration date
06/18/2024
Last updated
06/30/2026
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