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Contact Information

SUSAN W ROSEN, PA-C
530 NW 27TH ST
CORVALLIS, OR97333
 Phone: 541-766-6835
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SUSAN W ROSEN · (Female)

NPI # 1992990527
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/06/2007
Last updated 06/01/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA01104
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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