Individual
MS. SUSAN N JEANOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
7668 SW MOHAWK ST, TUALATIN, OR 97062-8119
(503) 885-5117
(866) 350-1311
Mailing address
2045 SE 67TH AVE, HILLSBORO, OR 97123-6169
(503) 348-7625
(503) 626-2702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000033099RN
OR
163WC0400X
Case Management Registered Nurse
00042366
OR
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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