Individual
SUSAN ELIZABETH PASSARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5005 NE SANDY BLVD, PORTLAND, OR 97213-1941
(503) 233-6940
(503) 236-2676
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1999
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201704699NP
OR
Other
Enumeration date
07/03/2017
Last updated
12/07/2021
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