Individual
SUZANNE LORRAINE AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3060 SE HAWTHORNE BLVD, PORTLAND, OR 97214-4121
(844) 966-6777
Mailing address
3060 SE HAWTHORNE BLVD, PORTLAND, OR 97214-4121
(844) 966-6777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10047064
OR
163W00000X
Registered Nurse
351807
CA
363LF0000X
Family Nurse Practitioner
Primary
10047064
OR
363LF0000X
Family Nurse Practitioner
3370
CA
Other
Enumeration date
06/02/2005
Last updated
10/02/2025
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