Dr. Susanne Fine, Llc

LBN: Dr. Susanne Fine, Llc
Dr. Susanne Fine, Llc is an health care organization with primary practice located at 1117 E Main St Suite 3, Medford OR 97504-7404. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Dr. Susanne Fine, Llc can be contacted via phone (541) 245-1123, or through Fine, Susanne via phone (541) 245-1123.

Contact Information

Primary practice address
1117 E Main St Suite 3 Medford OR 97504-7404
Phone: (541) 245-1123
Fax: (541) 245-1123
Website:
Map and Directions
Authorized official contact:
Name: Fine, Susanne PSY.D., RN, CNS
Phone: (541) 245-1123

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1546 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 200870007CNS-PP Oregon

Profile Details

NPI number 1366427759
LBN Legal business name Dr. Susanne Fine, Llc
DBA Doing business as
Authorized official Fine, Susanne PSY.D., RN, CNS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2005
Last updated Jan 9th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366427759 NPPES
Oregon Other 1546 PSYCHOLOGIST

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