NPI 1831606383 · live from the CMS NPI Registry
Susan Amidon, RN, CDE
Registered Nurse in Medford, OR. National Provider Identifier 1831606383, active.
NPI record
| NPI | 1831606383 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 555 Black Oak Dr Ste 310, Medford, OR 97504 |
| Practice phone | 541-789-4658 |
| Mailing address | 2620 E Barnett Rd Ste H, Medford, OR 97504 |
| Enumerated | January 5, 2018 |
| Last updated | January 5, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator | 163WD0400X | 20610437 (OR) |
| Registered Nurse primary | 163W00000X | 091000133 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.