Individual
SUSAN F, PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
615 5TH ST, BROOKINGS, OR 97415-9199
(541) 671-0622
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP 60312442
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225306574
—
WA
Enumeration date
12/01/2011
Last updated
08/22/2022
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