JACQUELINE SUSAN LOGAN

SALEM, OR
NPI1104905108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD20914)
Enumeration Date2006-11-02
Last Update Date2007-07-08
Business Address
Dr. JACQUELINE SUSAN LOGAN MD
2600 CENTER ST NE OREGON STATE HOSPITAL
SALEM, OR 97301
Phone number: 503-945-2800
Mailing Address
Dr. JACQUELINE SUSAN LOGAN MD
PO BOX 19055
PORTLAND, OR 97280-0055
Phone number: 503-998-6548