Individual
SUZANNE YOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
110 10TH ST SE, BANDON, OR 97411-9157
(541) 267-5151
(541) 267-2233
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 267-2233
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP11037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0577260001
DMERC
OR
01
—
1407812365
MEDICARE GROUP NPI NUMBER
OR
05
—
274383
—
OR
01
—
CB3544
RR MEDICARE GROUP NUMBER
OR
01
—
P00424728
RR MEDICARE PTAN
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
04/08/2006
Last updated
12/11/2007
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