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

Logan McIntire

Individual provider Physician Assistant · NPI 1538902481

Logan McIntire is a Physician Assistant in Salem, Oregon. Qualified in 2025, 1 year ago. Practices with Salem Radiology Consultants PC, a 34-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2925 Ryan Dr SE
Salem, OR 97301-9687
Phone: (503) 399-1262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA227644
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence PA227644 (OR)

Record details

NPI number1538902481
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2024
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing addressPo Box 12989, Salem, OR 97309-0989

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Salem Radiology Consultants Pc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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