Yen Logan
Clinic/Center, VA in Woodbridge, VA. Individual provider (NPI-1).
NPI number1154870145
StatusActive
Last updated in NPPESOct 1, 2016
Details
- NPI
- 1154870145
- Entity type
- Individual (NPI-1)
- Name
- Yen Logan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2016
- Last updated
- Oct 1, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | 0202205698 | VA | Yes |
Practice location
14139 Potomac Mills RdWoodbridge, VA 22192-4644
Phone 703-490-8400
Mailing address
14139 Potomac Mills RdWoodbridge, VA 22192-4644
Phone 703-490-8400
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.