Cleland Zamudio, Suzanne S
Cleland Zamudio, Suzanne S is an individual health care provider with primary practice located at 100 E Jackson Ave Ste 102 , Ellensburg WA 98926-3693. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Cleland Zamudio, Suzanne S can be contacted via phone (509) 933-8860.Contact Information
Primary practice address
100 E Jackson Ave Ste 102
Ellensburg WA 98926-3693
Phone: (509) 933-8860
Fax: (509) 933-8870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD21133 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00038929 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD 21133 | Oregon |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD00038929 | Washington |
Profile Details
| NPI number | 1609883768 |
|---|---|
| LBN Legal business name | Cleland Zamudio, Suzanne S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Feb 20th, 2020 - about 6 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 | 1609883768 | NPPES |
| Oregon | MEDICAID | 151216 |
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