Logan Bake
Logan Bake is a Physical Therapist in Private Practice in Ontario, Oregon. Qualified in 2014, 12 years ago. Practices with Tri-City Physical Therapy P C, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 12
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
1050 SW 3rd AveOntario, OR 97914-2193
Phone: (541) 881-7330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence PT-3687 (ID) |
|---|
Record details
| NPI number | 1407265838 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 11, 2014 |
| Last updated in NPPES | May 22, 2019 |
| Mailing address | 275 E 7th St, Weiser, ID 83672-2303 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Tri-City Physical Therapy P C — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ontario
-
Steven Blaine Anderson, MPT
2671 SW 4th Ave, Ontario, OR 97914-1833 · (541) 889-2221