Individual
SUSAN LARA ALBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
537 UNION AVE, GRANTS PASS, OR 97527-5543
(541) 507-2170
Mailing address
2825 E BARNETT RD OFC, MEDFORD, OR 97504-8332
(541) 789-8176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201501648NP
OR
363LF0000X
Family Nurse Practitioner
COA.12204-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500686240
—
OR
Enumeration date
02/18/2011
Last updated
08/09/2023
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