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

Shelby Fox Logan, PA-C

Individual provider Physician Assistant · NPI 1619250826

Shelby Fox Logan, PA-C is a Physician Assistant in Grants Pass, Oregon. Qualified in 2011, 15 years ago. Practices with Southern Oregon Orthopedics Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
15
Licensed in
OR
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859
Phone: (541) 472-0603
Fax: (541) 472-0609
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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 PA205860 (OR)

Record details

NPI number1619250826
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2011
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southern Oregon Orthopedics Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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