Individual
SUZANNE S AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., FNP-C
Contact information
Practice address
2735 NE 82ND AVE, PORTLAND, OR 97220-5304
(503) 988-3382
(503) 988-3167
Mailing address
10225 E BURNSIDE ST, BASEMENT, PORTLAND, OR 97216-2731
(503) 988-4424
(503) 988-4464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200550135NP
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
200550135NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213688
—
OR
Enumeration date
10/31/2007
Last updated
11/06/2017
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