Individual
SUSAN W WANGUGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
890 NW RIVERVIEW AVE, GRESHAM, OR 97030-4918
(253) 929-4061
Mailing address
890 NW RIVERVIEW AVE, GRESHAM, OR 97030-4918
(253) 929-4061
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B202304
OR
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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