Individual
DR. JENNIFER LYNN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE CB 669, PORTLAND, OR 97239-3011
(503) 494-8311
(503) 494-4981
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE CB 669, PORTLAND, OR 97239-3011
(503) 494-8311
(503) 494-4981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 97948
FL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD29229
OR
Other
Enumeration date
03/22/2007
Last updated
07/14/2009
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