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NPI 1427900562 · live from the CMS NPI Registry

Susan Fanning, RN

Registered Nurse, General Practice in Pendleton, OR. National Provider Identifier 1427900562, active.

NPI record

NPI1427900562 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, General Practice 163WG0000X
Practice location200 Se Hailey Ave Ste 204, Pendleton, OR 97801
Practice phone541-663-4104
Mailing addressPo Box 882, Pendleton, OR 97801
EnumeratedFebruary 11, 2026
Last updatedFebruary 11, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, General Practice primary163WG0000X202002079RN (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.