Bardon, Susan Lim

Bardon, Susan Lim is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Uhs-2, Portland OR 97239-3011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bardon, Susan Lim can be contacted via phone (503) 494-7641.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Uhs-2 Portland OR 97239-3011
Phone: (503) 494-7641
Fax: (503) 494-8368
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 200260052CRNA Oregon

Profile Details

NPI number 1912942491
LBN Legal business name Bardon, Susan Lim
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Apr 3rd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912942491 NPPES
Oregon MEDICAID 297947

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