SUSAN H GERVASI

CLACKAMAS, OR
NPI1255437273
Former NameSUSAN HAYES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: OR  OR 083042345N7)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
-- SUSAN H GERVASI WHCNP, BSN
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-786-8435
Mailing Address
-- SUSAN H GERVASI WHCNP, BSN
13683 SE 127TH AVE
CLACKAMAS, OR 97015-7302
Phone number: