Logan James Patzlaff

NPI #1548816879 in Beaverton, Oregon

Provider Information

NPI Number: 1548816879
Entity Type: Individual
Name: Logan James Patzlaff
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 13, 2019
Last Updated: Aug 13, 2019

Practice Location

Address: 6200 SW ARTIC DRIVE BEAVERTON, OR 97005
City: Beaverton
State: Oregon
ZIP Code: 97005
Phone: (503) 224-2184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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