Susan M Goranson in Portland - Nurse Practitioner
Susan M Goranson - NPI 1649216458
Susan M Goranson is a Nurse Practitioner in Portland, Oregon. Susan M Goranson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan M Goranson is 1649216458. The last update date is 2021-03-10.
Susan M Goranson's current location address is 9205 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032164961. The mailing address for Susan M Goranson is 9205 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Goranson |
|---|---|
| Address | 9205 Sw Barnes Rd, Portland, Oregon |
| Phone Number | 5032164961 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PMHNP |
NPI Number Detail
| NPI Number | 1649216458 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2021-03-10 |
Provider Mailing Address Detail
| Address | 9205 Sw Barnes Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972256603 |
| Phone Number | 5032164961 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 200450031NP |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500627015 | OR | -- | |
| P00461860 | OR | RR MEDICARE | |
| 273935 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan M Goranson by the Centers for Medicare & Medicaid Services (CMS)?
The Susan M Goranson has been assigned the NPI (National Provider Identifier) 1649216458. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Susan M Goranson's facilities are geographically located?
The facilities of Susan M Goranson are physically situated at the following location: 9205 Sw Barnes Rd, Portland, OR, 972256603.
What is Susan M Goranson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan M Goranson is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Susan M Goranson receive its 1649216458 assignment from the Centers for Medicare & Medicaid Services?
The Susan M Goranson was assigned its 1649216458 by the Centers for Medicare & Medicaid Services on 2006-06-21.
As of what date was the information regarding Susan M Goranson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan M Goranson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-10.