Organization · Type 2 NPI

Utah State University

Specialist · Logan, UT

NPI number 1447715701 Active

Practice location

6405 Old Main Hill
Logan, UT 84322-0001

Call (435) 797-7430 Map

Fax (844) 308-5865

Mailing address

6405 Old Main Hl
Logan, UT 84322-6405

Other practice locations

3726 S 2400 W, Wellsville, UT 84339 · (435) 797-4200
3580 South Hwy 89-91, Wellsville, UT 84339 · (435) 797-4200

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

45 other providers at this address

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NPI record

NPI: 1447715701
Entity type: Organization (Type 2)
Issued: Jan 31, 2019
Last updated: Apr 24, 2026
Status: Active
Subpart: Yes of Utah State University

Other names

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Sorenson Legacy Foundation Center for Clinical Excellence · doing business as
Sorenson Legacy Foundation Center for Clinical Excellence · doing business as

Authorized official

Kathryn Clements
Cehs Financial Officer
(435) 797-5830

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447715701

Utah State University's National Provider Identifier is 1447715701, issued on Jan 31, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Logan, UT. The record was last updated on Apr 24, 2026.