Porcaro, Susan

Porcaro, Susan is an individual health care provider with primary practice located at 608 Franquette St , Medford OR 97501-7832. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Porcaro, Susan can be contacted via phone (541) 858-1793.

Contact Information

Primary practice address
608 Franquette St Medford OR 97501-7832
Fax: (541) 858-1793
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 11302 Oregon

Profile Details

NPI number 1801932637
LBN Legal business name Porcaro, Susan
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 19 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 1801932637 NPPES
Oregon MEDICAID 240357

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