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Individual

SUZANNE D WEBBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1003 PROVIDENCE DR, STE 325, NEWBERG, OR 97132-7521
(541) 868-9500
(541) 685-5920
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200550025NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023268
OR
Enumeration date
11/08/2006
Last updated
03/28/2012
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