Nosacka, Susan A
Nosacka, Susan A is an individual health care provider with primary practice located at 2330 Nw Flanders St Ste G-1, Portland OR 97210-3442. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Nosacka, Susan A can be contacted via phone (503) 224-9270.Contact Information
Primary practice address
2330 Nw Flanders St Ste G-1
Portland OR 97210-3442
Phone: (503) 224-9270
Fax: (503) 224-9271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 339036 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT00004143 | Washington |
Profile Details
| NPI number | 1407831506 |
|---|---|
| LBN Legal business name | Nosacka, Susan A |
| Credentials | OTR/L, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1407831506 | NPPES |
| Oregon | MEDICAID | 226657 | |
| Oregon | Other | 135299 | |
| Oregon | MEDICAID | 8419947 |
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