Individual
SUSAN LORRAINE ZARETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19260 SW 65TH AVE, SUITE 435, TUALATIN, OR 97062-5701
(503) 692-2032
(503) 692-4450
Mailing address
19260 SW 65TH AVE, SUITE 435, TUALATIN, OR 97062-5701
(503) 692-2032
(503) 692-4450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250063NP FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000578
—
OR
05
—
1041268
—
WA
Enumeration date
04/20/2007
Last updated
03/14/2012
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