Individual
MS. SUSAN I TERRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
319 CAVES HWY, CAVE JUNCTION, OR 97523-9604
(541) 592-4111
(541) 592-3916
Mailing address
PO BOX 1850, CAVE JUNCTION, OR 97523-1850
(541) 592-4111
(541) 592-3916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00515
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127725
—
OR
Enumeration date
07/21/2005
Last updated
07/08/2007
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