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

Logan Shane

Individual provider Professional Counselor · NPI 1942770706

Logan Shane is a Mental Health Counselor in Bend, Oregon. Qualified in 2018, 8 years ago. Practices with Deschutes County Oregon, a 57-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2577 NE Courtney Dr
Bend, OR 97701-7752
Phone: (541) 322-7500
Fax: (541) 322-7565
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C6266 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1942770706
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2018
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address2577 Ne Courtney Dr, Bend, OR 97701-7752

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Deschutes County Oregon — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bend