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Randall Logan
NPI 1801203039 · on the registry since 2014 · sole proprietor
Practice
- Address
- 228 17th Ave Nw
Great Falls, MT 59404 - Phone
- (406) 454-6973
- Clinicians at this address
- 5
Additional practice sites
- 527 Se Hall St., Portland, OR
- 510 1st Ave N, Great Falls, MT
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-03
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 Montana