Individual provider · Type 1 NPI

Logan Michael Johnston

Medical Physician Assistant · Portland, OR

NPI number 1144834805 Active

Practice location

511 SW 10th Ave Ste 1301
Portland, OR 97205-2780

Call (503) 228-0155 Map

Fax (503) 226-8342

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

Another provider at this address

Other medical physician assistant providers in Portland

See all in Portland →

About NPI 1144834805

Logan Michael Johnston's National Provider Identifier is 1144834805, issued on Sep 1, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2024.