Moray, Susan
Moray, Susan is an sole proprietor health care provider with primary practice located at 2133 Se Orange Ave , Portland OR 97214-5363. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Moray, Susan can be contacted via phone (503) 230-9559.Contact Information
Primary practice address
2133 Se Orange Ave
Portland OR 97214-5363
Phone: (503) 230-9559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife, Lay | 175M00000X | DEM-LD357643 | Oregon |
Profile Details
| NPI number | 1740208123 |
|---|---|
| LBN Legal business name | Moray, Susan |
| Credentials | LDEM, CPM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740208123 | NPPES |
| Oregon | MEDICAID | 090075 |
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