DR. Jennifer Lynn Logan, M.D.

NPI #1639295587 in Portland, Oregon

Provider Information

NPI Number: 1639295587
Entity Type: Individual
Name: DR. Jennifer Lynn Logan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Preventive Medicine - Public Health & General Preventive Medicine
Credential: M.D.
Enumeration Date: Mar 22, 2007
Last Updated: Jul 14, 2009

Practice Location

Address: 3181 SW SAM JACKSON PARK RD
Address 2: MAIL CODE CB 669
City: Portland
State: Oregon
ZIP Code: 97239-3011
Phone: (503) 494-8311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine	2083P0901X	Primary

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