{"npi":"1609215573","type":"NPI-1","status":"active","name":{"display":"Logan Frederickson DO","other":[{"code":"1","type":"Formerly known as","value":"WILLIAMS, LOGAN CLAY"}],"first":"LOGAN","last":"FREDERICKSON","middle":"CLAY","credential":"DO"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"OR","license":"DO176820"}]},"addresses":[{"purpose":"LOCATION","street_1":"3705 MIDWAY DR","city":"BAKER CITY","state":"OR","postal_code":"978141456","country_code":"US","phone":"5415194250","fax":"5412395259"},{"purpose":"MAILING","street_1":"3705 MIDWAY DR","city":"BAKER CITY","state":"OR","postal_code":"978141456","country_code":"US","phone":"5415194250","fax":"5412395259"}],"license":{"state":"OR","number":"DO176820"},"identifiers":[{"type_code":"01","label":"Other","value":"DO176820","state":"OR","issuer":"MEDICAL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160706000891","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"OR","pac_id":"2860782828"}]},"enumeration_date":"2013-06-24","last_updated":"2024-02-01","_meta":{"source":"NPPES","snapshot_date":"2024-02-01","doc_url":"https://findmynpi.com/api"}}