Logan Zachary Cobb, RD
Dietitian, Registered in Portland, OR. Individual provider (NPI-1).
NPI number1982252987
StatusActive
Last updated in NPPESNov 5, 2019
Details
- NPI
- 1982252987
- Entity type
- Individual (NPI-1)
- Name
- Logan Zachary Cobb
- Credential
- RD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2019
- Last updated
- Nov 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
3710 Sw Us Veterans Hospital RdPortland, OR 97239
Phone 480-245-8230
Mailing address
3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964
Phone 480-245-8230
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