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LOGAN ELLIS

Family Medicine Physician

NPI: 1376129338IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

DO219980(OR)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS

Class of 2021

Contact & Hours

Via practice · 2 locations total

Address
930 SW ABBEY ST
NEWPORT, OR 97365

Quick Facts

NPI
1376129338
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
5

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