Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sage Functional Medicine Center

Organization Primary Care Clinic/Center · NPI 1912368549

Sage Functional Medicine Center is a Primary Care Clinic/Center in Logan, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016

Practice location Address checks out

55 E 100 N Ste 303
Logan, UT 84321-4661
Phone: (435) 760-7078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 8689112-4405 (UT)

Record details

NPI number1912368549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Roberts — Owner/Operator · (435) 760-7078
NPI enumeratedMarch 9, 2016
Last updated in NPPESMarch 9, 2016
Mailing address55 E 100 N, Suite 303, Logan, UT 84321-4661

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