Individual provider · Type 1 NPI

Jacqueline Susan Logan, MD

Internal Medicine Physician · Salem, OR

NPI number 1104905108 Active

Practice location

2600 Center St NE, Oregon State Hospital
Salem, OR 97301

Fax (503) 945-2807

Mailing address

PO Box 19055
Portland, OR 97280-0055

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XMD20914 (OR)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1104905108

Jacqueline Susan Logan, MD's National Provider Identifier is 1104905108, issued on Nov 2, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.