Individual
HEIDI A LOGANBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1705 WAVERLY DR SE, ALBANY, OR 97322-6952
(541) 967-8221
(541) 967-0054
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3758
(541) 967-8221
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD19764
OR
2084N0400X
Neurology Physician
Primary
MD19764
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300414181
RAILROAD MEDICARE
—
05
—
207964
—
OR
Enumeration date
04/11/2006
Last updated
02/22/2022
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