Individual
SUSAN A MINOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 E FULTON ST, NEWBERG, OR 97132-1806
(503) 538-2108
Mailing address
1900 E FULTON ST, NEWBERG, OR 97132-1806
(503) 538-2108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
095006527RN
OR
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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