Active NPI
Megan Renee Logsdon
- Counselor
- Beaverton, OR
National Provider Identifier
1245056787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R10403
- Practice address
- 12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687 - Phone
- (503) 303-0304
- NPI assigned
- Nov 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | R10403 | OR | Primary |
Addresses
Primary practice location
12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687
Mailing address
14570 SW Bonnie Brae St
Beaverton, OR 97007-3615
Phone (503) 341-3979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R10403 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1245056787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14570 SW BONNIE BRAE ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970073615",
"telephone_number": "503-341-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12725 SW MILLIKAN WAY STE 300",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051687",
"telephone_number": "503-303-0304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGSDON",
"first_name": "MEGAN",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-30",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "R10403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.