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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366427759 | NPPES |
| Oregon | Other | 1546 | PSYCHOLOGIST |
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