Individual
MS. SUSAN GAY MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
521 NW 35TH ST, CORVALLIS, OR 97330-4912
(541) 758-4594
Mailing address
521 NW 35TH ST, CORVALLIS, OR 97330-4912
(541) 758-4594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
080045277RN
OR
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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