| Dr. Susanne Fine, Llc | |
|
1117 E Main St Suite 3 Medford OR 97504-7404 | |
| (541) 245-1123 | |
| (541) 245-1123 |
| Full Name | Dr. Susanne Fine, Llc |
|---|---|
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
| Location | 1117 E Main St, Medford, Oregon |
| Authorized Official Name and Position | Susanne Fine (CLINICAL NURSE SPECIALIST/ARNP) |
| Authorized Official Contact | 5412451123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Susanne Fine, Llc 1117 E Main St Suite 3 Medford OR 97504-7404 Ph: (541) 245-1123 | Dr. Susanne Fine, Llc 1117 E Main St Suite 3 Medford OR 97504-7404 Ph: (541) 245-1123 |
| NPI Number | 1366427759 |
|---|---|
| Provider Enumeration Date | 12/08/2005 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366427759 | NPI | - | NPPES |
| 1546 | Other | OR | PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1546 (Oregon) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 200870007CNS-PP (Oregon) | Primary |
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