Long, Logan

Long, Logan is an individual health care provider with primary practice located at 1200 112Th Ave Ne Ste C210 , Bellevue WA 98004-3740. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Long, Logan can be contacted via phone (425) 999-3580.

Contact Information

Primary practice address
1200 112Th Ave Ne Ste C210 Bellevue WA 98004-3740
Phone: (425) 999-3580
Fax: (425) 999-3122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OC60925686 Washington

Profile Details

NPI number 1639770159
LBN Legal business name Long, Logan
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2020
Last updated Jan 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639770159 NPPES
Washington Other 60925686 THERAPY ASSISTANT

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