Individual
SUSAN FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 SE HAILEY AVE STE 204, PENDLETON, OR 97801-3072
(541) 663-4104
(541) 663-4142
Mailing address
PO BOX 882, PENDLETON, OR 97801-0882
(541) 663-4104
(541) 663-4142
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
202002079RN
OR
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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