Dr Jacqueline Susan Logan, MD | |
2600 Center St Ne, Oregon State Hospital, Salem, OR 97301 | |
(503) 945-2800 | |
(503) 945-2807 |
Full Name | Dr Jacqueline Susan Logan |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 2600 Center St Ne, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104905108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD20914 (Oregon) | Primary |
Entity Name | Dhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508802489 PECOS PAC ID: 0547170383 Enrollment ID: O20040130000453 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacqueline Susan Logan, MD Po Box 19055, Portland, OR 97280-0055 Ph: (503) 998-6548 | Dr Jacqueline Susan Logan, MD 2600 Center St Ne, Oregon State Hospital, Salem, OR 97301 Ph: (503) 945-2800 |
Dr. Andrew P. Hope, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Suite 4000, Salem, OR 97301 Phone: 503-364-0189 Fax: 503-364-9288 | |
Brett W Mikeska, M D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 Fax: 503-561-8560 | |
Dr. Aneet Jyot Deo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 Fax: 503-561-8560 | |
Dr. Sitalakshmi Jayamani Iyer, M.D., Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 | |
Joseph J Thaler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5050 Skyline Village Loop S, Salem, OR 97306 Phone: 503-391-1110 Fax: 503-370-4237 | |
Dr. Krystyna Antonina Pekalska, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Lancaster Dr Ne, Salem, OR 97305 Phone: 503-361-5400 | |
Dr. Falguny I Bhavan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Ste 3010, Salem, OR 97301 Phone: 503-399-7520 Fax: 503-362-7344 |