DR. SUSANNE FINE LLC NPI 1366427759

NPI Information

NPI: 1366427759
Provider Name: DR. SUSANNE FINE, LLC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1117 E MAIN ST
SUITE 3
MEDFORD, OR
ZIP 97504
Phone: (541) 245-1123
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DR. SUSANNE FINE, LLC is a psychiatric/mental health clinical nurse specialist in Medford, OR. DR. SUSANNE FINE, LLC NPI is 1366427759. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1117 E MAIN ST
SUITE 3
MEDFORD, OR
ZIP 97504-404
Phone: (541) 245-1123
Fax: (541) 245-1123

The provider's authorized official is Susanne Fine .
The authorized official title is Clinical Nurse Specialist/arnp and has the following contact phone number (541) 245-1123.

The enumeration date for this NPI number is 12/8/2005 and was last updated on 1/9/2013.

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
1	103TC0700X	Psychologist	Clinical	1546	OREGON	No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	200870007CNS-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1546	OTHER	OREGON	PSYCHOLOGIST

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: 4/28/2024

NPI Synchronization or Removal

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