Albright, Susan Lara

Albright, Susan Lara is an individual health care provider with primary practice located at 537 Union Ave , Grants Pass OR 97527-5543. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Albright, Susan Lara can be contacted via phone (541) 507-2170.

Contact Information

Primary practice address
537 Union Ave Grants Pass OR 97527-5543
Phone: (541) 507-2170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.12204-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201501648NP Oregon

Profile Details

NPI number 1265739742
LBN Legal business name Albright, Susan Lara
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2011
Last updated Aug 9th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265739742 NPPES
Oregon MEDICAID 500686240

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