IndividualActive
Jacob Logan
NPI 1932812583 · Student in an Organized Health Care Education/Training Program · Lebanon, OR
Provider details
- NPI number
- 1932812583
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5151017276 (MI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 5151017276 (MI)
Student, Health Care
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Mullins Dr
Lebanon, OR 97355-3983
Phone: (541) 259-0235
Street-level locationGet directions
Mailing address
200 Mullins Dr
Lebanon, OR 97355-3983
Registry dates
- Enumerated
- 2022-12-28
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.