Ahn, Suzanne S
Ahn, Suzanne S is an individual health care provider with primary practice located at 2735 Ne 82Nd Ave , Portland OR 97220-5304. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Ahn, Suzanne S can be contacted via phone (503) 988-3382.Contact Information
Primary practice address
2735 Ne 82Nd Ave
Portland OR 97220-5304
Phone: (503) 988-3382
Fax: (503) 988-3167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 200550135NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200550135NP | Oregon |
Profile Details
| NPI number | 1417136938 |
|---|---|
| LBN Legal business name | Ahn, Suzanne S |
| Credentials | M.S., FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2007 |
| Last updated | Nov 6th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417136938 | NPPES |
| Oregon | MEDICAID | 213688 |
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