Mcclintick, Suzanne
Mcclintick, Suzanne is an individual health care provider with primary practice located at 891 23Rd St Ne , Salem OR 97301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcclintick, Suzanne can be contacted via phone (503) 364-2181.Contact Information
Primary practice address
891 23Rd St Ne
Salem OR 97301
Phone: (503) 364-2181
Fax: (503) 364-0364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13517 | Oregon |
Profile Details
| NPI number | 1043245830 |
|---|---|
| LBN Legal business name | Mcclintick, Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 9th, 2018 - about 7 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 | 1043245830 | NPPES |
| Oregon | MEDICAID | 207050 |
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