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

Randall Logan

Individual provider Athletic Trainer · NPI 1801203039

Randall Logan is an Athletic Trainer in Great Falls, Montana. Practices as a sole proprietor and works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
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Practice location Address checks out

228 17th Ave NW
Great Falls, MT 59404-1807
Phone: (406) 454-6973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 510 1st Ave N, Great Falls, MT 59401-2592 — (406) 454-6973
  • 527 Se Hall St., Portland, OR 97201 — (503) 725-4000

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 10157554 (OR)

Record details

NPI number1801203039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2014
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address601 1st Ave N, Great Falls, MT 59401-2510

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