SUSAN MARIE GILLISPIE FNP NPI 1134512072

NPI Information

  • NPI: 1134512072
  • Provider Name: SUSAN MARIE GILLISPIE, FNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 3838 PACIFIC AVE
    FOREST GROVE, OR
    ZIP 97116
  • Phone: (503) 992-0288

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NPI Details

Susan Marie Gillispie, FNP is a primary care nurse practitioner in Forest Grove, OR. Susan Marie Gillispie, FNP NPI is 1134512072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3838 PACIFIC AVE
FOREST GROVE, OR
ZIP 97116-224
Phone: (503) 992-0288

The enumeration date for this NPI number is 3/17/2015 and was last updated on 4/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner201240084RNOREGONNo
2363LP2300XNurse PractitionerPrimary Care201501505NP-PPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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