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Contact Information

SUSAN AMIDON, RN, CDE
555 BLACK OAK DR STE 310
MEDFORD, OR97504-8491
 Phone: 541-789-4658
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for SUSAN AMIDON · (Female)

NPI Number 1831606383
Status Active
Credentials RN, CDE
Entity Individual
Enumeration date 01/05/2018
Last updated 01/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 091000133
  • OR License # 20610437
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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