Fordice, Susan D

Fordice, Susan D is an sole proprietor health care provider with primary practice located at 2013 Sw Olson Ave , Pendleton OR 97801-4421. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Fordice, Susan D can be contacted via phone (541) 240-1446.

Contact Information

Primary practice address
2013 Sw Olson Ave Pendleton OR 97801-4421
Phone: (541) 240-1446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1487081394
LBN Legal business name Fordice, Susan D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2013
Last updated Oct 9th, 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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