Individual
NAEEMAH Z LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, SUITE 540, PORTLAND, OR 97213-2991
(503) 215-6600
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PG158111
OR
Other
Enumeration date
05/02/2012
Last updated
06/29/2012
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