Eki, Susan Ruth

Eki, Susan Ruth is an individual health care provider with primary practice located at 1217 Ne Burnside Rd Ste 503C , Gresham OR 97030-5770. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Eki, Susan Ruth can be contacted via phone (971) 888-2014.

Contact Information

Primary practice address
1217 Ne Burnside Rd Ste 503C Gresham OR 97030-5770
Phone: (971) 888-2014
Fax: (971) 206-6387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 077037817N2 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 077037817N2 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200250006NP Oregon

Profile Details

NPI number 1396947065
LBN Legal business name Eki, Susan Ruth
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Sep 13th, 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 1396947065 NPPES
Oregon Other 077037817N2-PNP-PP NURSEPRACTITIONER LICENSE

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