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

Logan Andrew Villarreal, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689164188

Logan Andrew Villarreal, MD is a Family Practice in Spokane, Washington. Graduated from Loma Linda University School of Medicine in 2018, 8 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Trained at
Loma Linda University School of Medicine
Licensed in
WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

624 E Frnt Ave
Spokane, WA 99202-2139
Phone: (509) 626-9900
Fax: (509) 626-9917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 551 E Hawthorne Rd, Spokane, WA 99218-1417 — (509) 489-2369

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61113757 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689164188
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2018
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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