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Individual

SUSAN M WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2002
Mailing address
27155 SALMON RIVER HWY, GRAND RONDE, OR 97347-9729

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
64860
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5915
APN
TN
01
64860
RN
TN
Enumeration date
01/09/2007
Last updated
03/07/2023
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