SUSAN MARIE HERCEG

CLACKAMAS, OR
NPI1811008766
Former NameSUSAN MARIE AYERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OR  200550053NP)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: WA  AP30007226)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- SUSAN MARIE HERCEG NP
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-786-8435
Mailing Address
-- SUSAN MARIE HERCEG NP
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: