Organization
DR. SUSANNE FINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANNE FINE PSY.D., RN, CNS (CLINICAL NURSE SPECIALIST/ARNP)
(541) 245-1123
Entity
Organization
Contact information
Practice address
1117 E MAIN ST, SUITE 3, MEDFORD, OR 97504-7404
(541) 245-1123
(541) 245-1123
Mailing address
1117 E MAIN ST, SUITE 3, MEDFORD, OR 97504-7404
(541) 245-1123
(541) 245-1123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1546
OR
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
200870007CNS-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1546
PSYCHOLOGIST
OR
Enumeration date
12/08/2005
Last updated
01/09/2013
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