Omura, Susan E
Omura, Susan E is an individual health care provider with primary practice located at 25050 Se Stark St Ste 300 , Gresham OR 97030-3388. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Omura, Susan E can be contacted via phone (503) 667-8878.Contact Information
Primary practice address
25050 Se Stark St Ste 300
Gresham OR 97030-3388
Phone: (503) 667-8878
Fax: (503) 667-0310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD23697 | Oregon |
Profile Details
| NPI number | 1477576239 |
|---|---|
| LBN Legal business name | Omura, Susan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Mar 6th, 2026 - about 8 months 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 | 1477576239 | NPPES |
| Oregon | MEDICAID | 286909 |
Popular Providers
-
Anderson, Lori Ann
25050 Se Stark St Ste 300 , Gresham OR 97030-3388 -
Johnson-Beale, Clotilde Amelia
25050 Se Stark St Ste 300 , Gresham OR 97030-3388 -
Lau, Alexander Herman
25050 Se Stark St Ste 300, Gresham OR 97030-3383 -
Gyerko, Peter R
25050 Se Stark St Ste 300 , Gresham OR 97030-3388 -
Calcagno, Frank Anthony
24850 Se Stark St Ste 150, Gresham OR 97030-8316 -
Kinstetter, Denise D
1217 Ne Burnside Ste 301, Gresham OR 97030 -
Sobell, Kimberly Anja
600 Ne 8Th St Ste 300 , Gresham OR 97030-7318 -
Schone, Hildegard A.E.
25500 Se Stark St. Suite 102, Gresham OR 97030