Individual
MS. SUZANNE MICHELLE NERLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA174814
OR
363AS0400X
Surgical Physician Assistant
Primary
PA174814
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170061
—
OR
Enumeration date
11/07/2014
Last updated
08/16/2024
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