Individual
BERT ALAN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MPT, DPT
Contact information
Practice address
9620 NE TANASBOURNE DR STE 300, HILLSBORO, OR 97124-7844
(866) 839-6979
(916) 913-5646
Mailing address
PO BOX 2350, ROCKLIN, CA 95677-8350
(866) 839-6979
(916) 913-5646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2653
OR
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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