Individual
SUSAN L MCDEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8417
Mailing address
7012 47TH ST NW, GIG HARBOR, WA 98335-5639
(253) 224-0391
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
200350108NNP
OR
363LN0000X
Neonatal Nurse Practitioner
2007025927
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
AP60148500
WA
363LN0000X
Neonatal Nurse Practitioner
R1777183
MN
Other
Enumeration date
12/12/2006
Last updated
01/19/2015
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