IndividualActive
Yen Logan
NPI 1154870145 · VA Clinic/Center · Woodbridge, VA
Provider details
- NPI number
- 1154870145
- Entity type
- Individual
- Primary specialty
- VA Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0202205698 (VA)
Practice location
14139 Potomac Mills Rd
Woodbridge, VA 22192-4644
Phone: (703) 490-8400
Mailing address
14139 Potomac Mills Rd
Woodbridge, VA 22192-4644
Registry dates
- Enumerated
- 2016-10-01
- Last updated
- 2016-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.