Individual
MRS. SUSAN LEE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
707 MURPHY RD, MEDFORD, OR 97504-8425
(541) 890-8900
(541) 622-8901
Mailing address
707 MURPHY RD, MEDFORD, OR 97504-8425
(541) 622-8900
(541) 622-8901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200350114NP FNP PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082010084RN
OREGON LICENSE NUMBER
OR
01
—
200350114NP
OREGON BOARD OF NURSING LICENSE NUMBER
OR
Enumeration date
10/14/2005
Last updated
06/30/2026
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