Individual
SUSANA MCALLASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 C STREET, SUITE 200, INDEPENDENCE, OR 97351
(310) 505-2182
Mailing address
17935 ROBB MILL RD, DALLAS, OR 97338-9111
(310) 505-2182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10062892
OR
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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