Individual
LOGAN JAMES PATZLAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 SW ARTIC DRIVE BEAVERTON, OR 97005, BEAVERTON, OR 97005
(503) 224-2184
Mailing address
45360 SW ETTERS RD, GASTON, OR 97119-9074
(503) 858-2185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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