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Contact Information

SUSAN B MARTIN, CDE/RN
1698 E MCANDREWS RD
SUITE 170
MEDFORD, OR97504-5589
 Phone: 541-732-6957
 Fax: 541-732-7901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for SUSAN B MARTIN · (Female)

NPI # 1669609954
Status Active
Credentials CDE/RN
Entity Individual
Enumeration date 06/15/2009
Last updated 12/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 097006478RN
  • OR Other 20220359 CERTIFIED DIABETIC EDUCATOR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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