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Individual

IAN ALEXANDER LOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6400
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6400

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD220297
OR
208100000X
Physical Medicine & Rehabilitation Physician
MD60967887
WA

Other

Enumeration date
06/17/2016
Last updated
01/20/2026
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