SUSAN H GERVASI WHCNP, BSN
NPI 1255437273
Nurse Practitioner - Women's Health in Clackamas, OR
Active since September 16, 2006
About Susan H Gervasi Whcnp, Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN H GERVASI WHCNP, BSN (NPI 1255437273) is an individual women's health provider in Clackamas, Oregon, licensed in Oregon (OR 083042345N7) and active in the NPI registry since September 2006.
NPPES Registry Identity
NPI1255437273
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSUSAN H GERVASICredential: WHCNP, BSN
Location Address10100 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address13683 Se 127th AveClackamas, OR 97015-7302
Phone(503) 786-8435
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255437273 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OR · OR 083042345N7
10100 SE SUNNYSIDE RD, Clackamas, OR 97015
Other Names 1
Former Name (1)Susan Hayes
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Orthopaedic Surgery
10100 SE SUNNYSIDE RD, KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Registered Nurse (Women's Health Care, Ambulatory)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Obstetrics & Gynecology
10100 SE SUNNYSIDE RD, KAISER PERMANENTE MT. TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Urology
10100 SE SUNNYSIDE RD, MT TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255437273, enumerated as an "individual" on September 16, 2006.
The provider is located at 10100 SE SUNNYSIDE RD CLACKAMAS, OR 97015 and the phone number is (503) 786-8435.
Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.