Individual
MARY SUSSEX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8735 N WILLAMETTE BLVD, PORTLAND, OR 97203-5339
(206) 730-4489
(206) 322-7640
Mailing address
8735 N WILLAMETTE BLVD, PORTLAND, OR 97203-5339
(206) 730-4489
(206) 322-7640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00079239
WA
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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