Individual
MRS. SUSAN LEE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11782 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-5914
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-5914
(503) 214-5200
(503) 906-6613
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
Enumeration date
10/14/2005
Last updated
07/11/2016
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