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

Jacob T Logan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932812583

Jacob T Logan is a Student in an Organized Health Care Education/Training Program in Lebanon, Oregon. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

200 Mullins Dr
Lebanon, OR 97355-3983
Phone: (541) 259-0235
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 5151017276 (MI)

Record details

NPI number1932812583
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 28, 2022
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address200 Mullins Dr, Lebanon, OR 97355-3983

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