Brooke Lexena Logue

NPI #1598533366 in Grants Pass, Oregon

Provider Information

NPI Number: 1598533366
Entity Type: Individual
Name: Brooke Lexena Logue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 12, 2023
Last Updated: Feb 6, 2024

Practice Location

Address: 741 NE 6TH ST
City: Grants Pass
State: Oregon
ZIP Code: 97526-1556
Phone: (541) 471-2701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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