Logan Shane

NPI #1942770706 in Bend, Oregon

Provider Information

NPI Number: 1942770706
Entity Type: Individual
Name: Logan Shane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 4, 2018
Last Updated: Aug 11, 2021

Practice Location

Address: 2577 NE COURTNEY DR
City: Bend
State: Oregon
ZIP Code: 97701-7752
Phone: (541) 322-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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