LOGAN KYLE ROSENBERG (NPI# 1972131845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972131845 |
| Entity Type | Individual |
| Full Name | LOGAN KYLE ROSENBERG |
| Credential | MD |
| Practice Address |
1200 Nw 23rd Ave Portland OR 97210-2906 |
| Mailing Address |
20 Sutton Pl S Apt 20c New York NY 10022-4348 |
| Practice Telephone | 5034137074 |
| Practice Fax Number | 5034136892 |
| Mailing Telephone | 9145486873 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912231739 | Logan Paige Rosenberg | Social Worker | 14130 Hillcrest Rd, Dallas, TX 75254-8623 | 2009-09-25 |
| Street Address |
1200 NW 23RD AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649246182 | Melinda Muller | Internal Medicine | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2006-02-24 |
| 1770112815 | Donald Scott Slusarenko | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2020-04-01 |
| 1477181592 | Kiley Anne Lawrence | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2020-04-01 |
| 1265060735 | Sean Seagraves | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2020-03-31 |
| 1063040590 | Jonathon Samuel Davis | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2020-03-30 |
| 1053949594 | Traci June Tokue Mikasa | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2020-03-30 |
| 1033747050 | Rachel Lauren Perez | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2020-03-27 |
| 1861020877 | Sarah Choi | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2020-03-27 |
| 1568090579 | Katherine Camille Taylor | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2020-03-27 |
| 1922635150 | Trang Hua | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave, Portland, OR 97210-2906 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
| Find all providers in PORTLAND | ||||
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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.