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NPI Code Detail

MEDICARE: LOGAN MICHAEL KAPPAS

MEDICARE: LOGAN MICHAEL KAPPAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1366393837
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOGAN MICHAEL KAPPAS
Provider Business Mailing Address
First Line : 16083 SW UPPER BOONES FERRY RD STE 300
Second Line :
City : PORTLAND
State : OR
Zip : 97224-7736
Country : US
Telephone Number : 503-443-6156
Fax Number :
Provider Business Practice Location Address
First Line : 4690 SW WASHINGTON AVE
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-0530
Country : US
Telephone Number : 503-644-3311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ LOGAN MICHAEL KAPPAS ” Practice Location

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