Zaretsky, Susan Lorraine

Zaretsky, Susan Lorraine is an individual health care provider with primary practice located at 19260 Sw 65Th Ave Suite 435, Tualatin OR 97062-5701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Zaretsky, Susan Lorraine can be contacted via phone (503) 692-2032.

Contact Information

Primary practice address
19260 Sw 65Th Ave Suite 435 Tualatin OR 97062-5701
Phone: (503) 692-2032
Fax: (503) 692-4450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200250063NP FNP-PP Oregon

Profile Details

NPI number 1861610586
LBN Legal business name Zaretsky, Susan Lorraine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Mar 14th, 2012 - about 14 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 1861610586 NPPES
Oregon MEDICAID 000578
Oregon MEDICAID 1041268

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