Individual
MRS. SUSAN LYN SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
408 EAST WASHINGTON, ATHENA, OR 97813-0483
(541) 566-2545
Mailing address
PO BOX 483, ATHENA, OR 97813-0483
(541) 566-2545
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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