DR. JACQUELINE SUSAN LOGAN MD
NPI 1104905108
Internal Medicine in Salem, OR

Active since November 02, 2006PECOS Enrolled
2600 CENTER ST NE, OREGON STATE HOSPITAL, SALEM, OR 97301(503) 945-2800(503) 945-2807 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jacqueline Susan Logan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE SUSAN LOGAN MD (NPI 1104905108) is an individual internal medicine provider in Salem, Oregon, licensed in Oregon (MD20914) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104905108
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACQUELINE SUSAN LOGANCredential: MD
Location Address2600 CENTER ST NE, OREGON STATE HOSPITALSalem, OR 97301
Mailing AddressPo Box 19055Portland, OR 97280-0055 · (503) 998-6548
Fax(503) 945-2807
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104905108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OR · MD20914
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2600 CENTER ST NE, Salem, OR 97301

Other Identifiers 1

Medicare UPING71430

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jacqueline Susan Logan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
67 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2600 CENTER ST NE, OREGON STATE HOSPITAL
SALEM, OR 97301
Pharmacist
2600 CENTER ST NE, OREGON STATE HOSPITAL
SALEM, OR 97301
Psychologist (Clinical)
2600 CENTER ST NE, OREGON STATE HOSPITAL
SALEM, OR 97301
Psychologist
2600 CENTER ST NE, OREGON STATE HOSPITAL
SALEM, OR 97301
Counselor (Addiction (Substance Use Disorder))
2600 CENTER ST NE
SALEM, OR 97301
Psychiatry & Neurology (Geriatric Psychiatry)
2600 CENTER ST NE
SALEM, OR 97301
Psychiatry & Neurology (Psychiatry)
2600 CENTER ST NE
SALEM, OR 97301
Psychiatry & Neurology (Psychiatry)
2600 CENTER ST NE
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104905108, enumerated as an "individual" on November 02, 2006.

The provider is located at 2600 CENTER ST NE OREGON STATE HOSPITAL SALEM, OR 97301 and the phone number is (503) 945-2800.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.