# SUSAN M SEGEBARTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841268505
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10257 | MN | — |
| 363A00000X | Physician Assistant | 2082 | CO | — |
| 363A00000X | Physician Assistant | PA166690 | OR | — |
| 363A00000X | Physician Assistant | PA60217463 | WA | Yes |
| 363AM0700X | Medical Physician Assistant | — | OR | — |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 04/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 99635844 | — | CO |