DR. Jacqueline Susan Logan, MD

NPI #1104905108 in Salem, Oregon

Provider Information

NPI Number
1104905108
Entity Type
Individual
Name
DR. Jacqueline Susan Logan, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
MD
Enumeration Date
Nov 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2600 CENTER ST NE
Address 2
OREGON STATE HOSPITAL
City
Salem
State
Oregon
ZIP Code
97301
Phone
(503) 945-2800

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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