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

Logan William Bailey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639921752

Logan William Bailey is a Student in an Organized Health Care Education/Training Program in Roseville, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone: (916) 781-1647
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1639921752
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address1870 Ollivier Rd, McKinleyville, CA 95519-9448

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