Amidon, Susan

Amidon, Susan is an individual health care provider with primary practice located at 555 Black Oak Dr Ste 310 , Medford OR 97504-8491. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Amidon, Susan can be contacted via phone (541) 789-4658.

Contact Information

Primary practice address
555 Black Oak Dr Ste 310 Medford OR 97504-8491
Phone: (541) 789-4658
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 20610437 Oregon
Nursing Service Providers / Registered Nurse 163W00000X 091000133 Oregon

Profile Details

NPI number 1831606383
LBN Legal business name Amidon, Susan
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2018
Last updated Jan 5th, 2018 - about 6 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.

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