| 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 |