Watkins, Susan Lee

Watkins, Susan Lee is an sole proprietor health care provider with primary practice located at 707 Murphy Rd , Medford OR 97504-8425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Watkins, Susan Lee can be contacted via phone (541) 890-8900.

Contact Information

Primary practice address
707 Murphy Rd Medford OR 97504-8425
Fax: (541) 622-8901
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200350114NP FNP PP Oregon

Profile Details

NPI number 1790774537
LBN Legal business name Watkins, Susan Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Jun 30th, 2026 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790774537 NPPES
Oregon Other 082010084RN OREGON LICENSE NUMBER
Oregon Other 200350114NP OREGON LICENSE NUMBER

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