Healthcare Provider Details

I. General information

NPI: 1477523637
Provider Name (Legal Business Name): ELIZABETH TRICE LOGGERS M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3485 S BOND AVE
PORTLAND OR
97239-4503
US

IV. Provider business mailing address

3181 SW SAM JACKSON PARK RD
PORTLAND OR
97239-3098
US

V. Phone/Fax

Practice location:
  • Phone: 503-494-5058
  • Fax:
Mailing address:
  • Phone: 503-494-5058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number60111734
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number230684
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: