Gillispie, Susan Marie

Gillispie, Susan Marie is an individual health care provider with primary practice located at 3838 Pacific Ave , Forest Grove OR 97116-2224. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Gillispie, Susan Marie can be contacted via phone (503) 992-0288.

Contact Information

Primary practice address
3838 Pacific Ave Forest Grove OR 97116-2224
Phone: (503) 992-0288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201240084RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 201501505NP-PP Oregon

Profile Details

NPI number 1134512072
LBN Legal business name Gillispie, Susan Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2015
Last updated Apr 26th, 2021 - about 3 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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