Individual
SUSAN TREZONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3100 MARTIN LUTHER KING JR PKWY, SPRINGFIELD, OR 97477-7514
(541) 485-2777
(541) 246-2353
Mailing address
PO BOX 70368, SPRINGFIELD, OR 97475-0120
(541) 485-2777
(541) 246-2353
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
000031314N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085282
—
OR
Enumeration date
07/12/2006
Last updated
08/07/2013
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