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Individual

SUSAN ROWLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7036
Mailing address
1146 32ND PL, FOREST GROVE, OR 97116-2678

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200440928RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201800606CRNA-PP
OR

Other

Enumeration date
09/25/2015
Last updated
12/28/2021
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