LOGAN BAKE (NPI# 1407265838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407265838 |
Entity Type | Individual |
Full Name | LOGAN BAKE |
Practice Address |
1050 Sw 3rd Ave Ontario OR 97914-2193 |
Mailing Address |
275 E 7th St Weiser ID 83672-2303 |
Practice Telephone | 5418817330 |
Mailing Telephone | 2085491008 |
Mailing Fax Number | 2085491396 |
Enumeration Date | 2014-08-11 |
Last Update Date | 2019-05-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT-3687 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1050 SW 3RD AVE |
City | ONTARIO |
State | OR |
Zip Code | 97914-2193 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801892104 | Frank J Spokas Jr. | Surgery | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914 | 2005-06-22 |
1649619966 | Ashley Rene Kossick | Speech-Language Pathologist | 1050 Sw 3rd Ave, Ontario, OR 97914-2193 | 2013-06-19 |
1518236785 | Stephanie Candice Johnson Mooney | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914 | 2011-12-17 |
1760779904 | Micah James Wilson | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 | 2011-07-08 |
1093034159 | Saint Alphonsus Medical Center - Ontario, Inc. | Podiatrist | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 | 2010-05-27 |
1538306725 | Richard T. Davis, Md PC | Orthopaedic Surgery | 1050 Sw 3rd Ave, Suite 1200, Ontario, OR 97914-2193 | 2009-01-09 |
1063692028 | Andrew W. Allen | Anesthesiology | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914-2193 | 2007-11-07 |
1518167634 | Ontario Ear, Nose and Throat | Otolaryngology | 1050 Sw 3rd Ave, Suite 3600, Ontario, OR 97914-2193 | 2007-07-18 |
1508083635 | Pamela Pember Bruce | Surgery | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914 | 2007-04-19 |
1952325458 | Donna Messersmith | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 1600, Ontario, OR 97914 | 2006-07-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
Find all providers in zip 97914 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144865981 | Brian Huang | Physical Therapist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-11-15 |
1891022307 | Betsy Hoffman | Physical Therapist | 1750 W 4th St, Ontario, OH 44906-1770 | 2009-11-05 |
1265630818 | Steven Blaine Anderson | Physical Therapist | 2671 Sw 4th Ave, Ontario, OR 97914-1833 | 2007-07-05 |
1962524306 | Benjamin Chen | Physical Therapist | 2295 S Vineyard Ave, Bldg A, Ontario, CA 91761-7925 | 2007-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
1629638952 | Alana Vernon | Physical Therapist | 625 N Arrowleaf Trl Bldg G, Sisters, OR 97759-2610 | 2019-06-18 |
1992369532 | Mansi S Sabne | Physical Therapist | 2460 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1501 | 2019-04-29 |
1447813084 | Prokaleo Physical Therapy, LLC | Physical Therapist | 12120 Sw Garden Pl, Tigard, OR 97223-8264 | 2019-04-18 |
1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
1578041976 | Sheridan Edward Pyeatt | Physical Therapist | 870 S Front St Ste 105, Central Point, OR 97502-2779 | 2018-07-30 |
1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.