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Contact Information

LOGAN BAKE
1050 SW 3RD AVE
ONTARIO, OR97914-2193
 Phone: 541-881-7330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LOGAN BAKE · (Male)

NPI # 1407265838
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2014
Last updated 05/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PT-3687
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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