Individual
SUSAN A KASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6736 NE KILLINGSWORTH ST, PORTLAND, OR 97218-3338
(509) 988-3991
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
(503) 988-3991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
092000175N1
OR
Other
Enumeration date
06/06/2006
Last updated
04/21/2023
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