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

Logan Havel Buckley, DPT

Individual provider Physical Therapist · NPI 1699256990

Logan Havel Buckley, DPT is a Physical Therapist in Private Practice in Beaverton, Oregon. Qualified in 2018, 8 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Oregon.

Years since qualifying
8
Licensed in
MD, OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12345 SW Horizon Blvd Ste 57
Beaverton, OR 97007-9475
Phone: (503) 216-8825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1401 Conowingo Rd Ste C, Bel Air, MD 21014-1809 — (410) 420-2257

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63456 (OR)
Physical Therapist Taxonomy 225100000X · Licence 27164 (MD)

Record details

NPI number1699256990
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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