Individual
DR. SUZANNE MICHELE JAGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12525 NW CORNELL RD STE 204, PORTLAND, OR 97229-5615
(971) 232-9232
Mailing address
1925 NW 126TH PL, PORTLAND, OR 97229-4627
(408) 364-6103
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201602463CRNA-PP
OR
367500000X
Certified Registered Nurse Anesthetist
626041
CA
Other
Enumeration date
03/04/2007
Last updated
01/09/2024
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