Individual
MS. TRENA SUE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1773 CHUKAR CT NW, SALEM, OR 97304-2002
(503) 763-6067
Mailing address
1773 CHUKAR CT NW, SALEM, OR 97304-2002
(503) 763-6067
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200030227
OR
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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