Individual
ADAM BENJAMIN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HCW,PSW,PCA
Contact information
Practice address
313 EWALD AVE SE, SALEM, OR 97302-4710
(971) 331-1613
Mailing address
313 EWALD AVE SE, SALEM, OR 97302-4710
(971) 331-1613
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
820031
OR
3747P1801X
Personal Care Attendant
881621
OR
376J00000X
Homemaker
Primary
844671
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820031
—
OR
05
—
844671
—
OR
05
—
881621
—
OR
Enumeration date
04/29/2026
Last updated
04/29/2026
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