Individual
LOGAN THOMPSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2150 3RD ST, BAKER CITY, OR 97814-2609
(541) 523-5858
(541) 523-7652
Mailing address
3325 9TH DR, BAKER CITY, OR 97814-1525
(503) 314-3561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3375ATI
OR
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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