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NPI Code Detail

MEDICARE: SUZANNE LORRAINE AUGUST N.P.

MEDICARE: SUZANNE LORRAINE AUGUST N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse10047064OR
2363LF0000XFamily Nurse Practitioner3370CA
3163W00000XRegistered Nurse351807CA
4363LF0000XFamily Nurse Practitioner10047064OR

General Provider Information

NPI Number : 1275535221
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE LORRAINE AUGUST N.P.
Provider Business Mailing Address
First Line : 3060 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-4121
Country : US
Telephone Number : 844-966-6777
Fax Number :
Provider Business Practice Location Address
First Line : 3060 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-4121
Country : US
Telephone Number : 844-966-6777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 10/02/2025

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