MEDICARE: DR. LOGAN JON DANIELSON DO

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
1	207QS0010X	Sports Medicine (Family Medicine) Physician	3961866	ID
2	207QS0010X	Sports Medicine (Family Medicine) Physician	OP61566334	WA
3	207QS0010X	Sports Medicine (Family Medicine) Physician	20A20017	CA

General Provider Information

NPI Number	:	1831620327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOGAN JON DANIELSON DO

Provider Business Mailing Address
First Line	:	2426 W CENTENNIAL PL
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-3135
Country	:	US
Telephone Number	:	208-249-2678
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 N WASHINGTON ST STE 1080
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2446
Country	:	US
Telephone Number	:	509-824-7327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2017
Last Update Date	:	01/15/2025

Similar Medicare Providers

1184557084 — JESSICA HAWKINS
Practice Location Address:

1330 N WASHINGTON ST
SPOKANE, WA
99201-2446

Practice Phone: 509-838-4651
Practice Fax:

1356009872 — RYAN SCOTT JOHNSON
Practice Location Address:

1330 N WASHINGTON ST
SPOKANE, WA
99201-2446

Practice Phone: 509-838-4651
Practice Fax:

1023799541 — SAMANTHA K KNAPP DNP, ARNP, CNP
Practice Location Address:

1330 N WASHINGTON ST STE 1080
SPOKANE, WA
99201-2446

Practice Phone: 509-824-7327
Practice Fax:

1750263133 — MILEE RENAE MCINTOSH
Practice Location Address:

1330 N WASHINGTON ST
SPOKANE, WA
99201-2446

Practice Phone: 509-838-4651
Practice Fax:

1912997370 — CLINTON HUBBARD OT, CHT
Practice Location Address:

820 S MCCLELLAN ST STE 118
SPOKANE, WA
99204-2446

Practice Phone: 509-838-7100
Practice Fax: 509-227-7070

1528088952 — PATRICIA L LIGHTFOOT PA-C
Practice Location Address:

820 S MCCLELLAN ST STE 118
SPOKANE, WA
99204-2446

Practice Phone: 509-838-7100
Practice Fax:

Directions to “ DR. LOGAN JON DANIELSON DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.