Search › Idaho › 222Q00000X
Logan Pluckebaum, IP
NPI 1649158718 · on the registry since 2025 · sole proprietor
Practice
- Address
- 7557 W Ustick Rd
Boise, ID 83704 - Phone
- (208) 890-4405
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho