Wagner, Susan E
Wagner, Susan E is an individual health care provider with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3460. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wagner, Susan E can be contacted via phone (503) 643-7565.Contact Information
Primary practice address
4855 Sw Western Ave
Beaverton OR 97005-3460
Phone: (503) 643-7565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00685 | Oregon |
Profile Details
| NPI number | 1588775357 |
|---|---|
| LBN Legal business name | Wagner, Susan E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 11th, 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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