Logan Bake, | |
1050 Sw 3rd Ave, Ontario, OR 97914-2193 | |
(541) 881-7330 | |
Not Available |
Full Name | Logan Bake |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 1050 Sw 3rd Ave, Ontario, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407265838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT-3687 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-city Physical Therapy Pc | 7517933484 | 3 |
Provider Name | Tri-city Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477573756 PECOS PAC ID: 7517933484 Enrollment ID: O20040902000857 |
Mailing Address | Practice Location Address |
---|---|
Logan Bake, 275 E 7th St, Weiser, ID 83672-2303 Ph: (208) 549-1008 | Logan Bake, 1050 Sw 3rd Ave, Ontario, OR 97914-2193 Ph: (541) 881-7330 |
Ontario Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 49 Nw 1st St, Suite 1, Ontario, OR 97914 Phone: 541-889-4550 Fax: 541-889-4628 | |
Lynsay Jo Ludwig, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 898 Sw 4th Ave, Ontario, OR 97914 Phone: 541-881-7330 Fax: 541-881-7334 | |
Dr. Marisol Cardoza Mendoza, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 Sw 4th Ave, Ontario, OR 97914 Phone: 541-881-7330 | |
Mr. David O Hardy, MS PT OCS CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2671 Sw 4th Ave, Treasure Valley Physical Therapy, Ontario, OR 97914 Phone: 541-889-2221 Fax: 541-889-2221 | |
Ms. Jean Elizabeth Lindley Oakes, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 Sw 4th St, Ontario, OR 97914 Phone: 541-889-8336 Fax: 541-889-2310 | |
Steven Blaine Anderson, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2671 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2221 Fax: 541-889-3437 | |
Mr. Stephen Earl Price, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1159 Sw 4th Ave, Ontario, OR 97914 Phone: 541-881-0970 Fax: 541-881-0971 |