Mary Alexandra Logan, PCD(DONA)

Primary specialty

DoulaTaxonomy code 374J00000X

License

602966552 Issued in WA

Practice address

1822 E 32ND St
Vancouver, WA 98663-2976

Phone

(503) 943-9392

NPI assigned

Dec 6, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260057600000",
    "number": "1457689226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 E 32ND ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632976",
            "telephone_number": "503-943-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 E 32ND ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632976",
            "telephone_number": "503-943-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MARY",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "PCD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-06",
        "last_updated": "2009-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "602966552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Grace Loff, LMHC
• Eric J Lofgren, RPH
• Jennifer Dawn Logan, APRN, FNP-BC
• Jennifer L Logan, LMHC, LASW, CDP
• Leala Logan, PT, DPT
• Naziyah Logan
• Jordyn Lohn
• Kimberly Lohrman
• Sarah Jane Lohrmann-Peck, LMP
• Aleisha Loken

• Doula in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Doula in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.