Speece, Susan E
Speece, Susan E is an individual health care provider with primary practice located at 115 Ne May Ln , Mcminnville OR 97128-9272. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Speece, Susan E can be contacted via phone (503) 472-1338.Contact Information
Primary practice address
115 Ne May Ln
Mcminnville OR 97128-9272
Phone: (503) 472-1338
Fax: (503) 434-8597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201401972NP-PP | Oregon |
Profile Details
| NPI number | 1124323050 |
|---|---|
| LBN Legal business name | Speece, Susan E |
| Credentials | MSN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2011 |
| Last updated | Nov 3rd, 2015 - about 9 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 | 1124323050 | NPPES |
| Oregon | MEDICAID | 500670930 |
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