Individual
SUSAN LYNN BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9775 SE SUNNYSIDE RD, SUITE 200, CLACKAMAS, OR 97015-5739
(503) 794-3838
(503) 794-3850
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200242425RN
OR
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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