Individual
SUSAN TIBBITTS-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3377 RIVERBEND DR, PRENATAL CLINIC, SPRINGFIELD, OR 97477-8800
(541) 222-6493
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
077039513RN
OR
Other
Enumeration date
02/27/2009
Last updated
01/14/2025
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