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

Logan Ellis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376129338

Logan Ellis is a Family Practice in Newport, Oregon. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2021, 5 years ago. Practices with Good Samaritan Hospital Corvallis, a 375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
OR
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

930 SW Abbey St
Newport, OR 97365-4820
Phone: (541) 265-2244
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Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-8211

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO219980 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376129338
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2021
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing addressPo Box 1189, Corvallis, OR 97339-1189

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2021 (5 years in practice)
Group practice Good Samaritan Hospital Corvallis — 375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Newport