Individual
SUKI TERISA RAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-3130
Mailing address
5730 SE GARNET WAY, MILWAUKIE, OR 97267-6253
(510) 517-8361
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
201406538RN
OR
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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