Individual
LOGAN BRUTTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0212181
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2019
Last updated
07/22/2022
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