Individual
MRS. SUSAN GAIL DOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
118 PONDEROSA WAY, EAGLE POINT, OR 97524-9606
(541) 826-8877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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