SUSAN MAE ZDUN (NPI# 1245483593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245483593 |
| Entity Type | Individual |
| Full Name | SUSAN MAE ZDUN |
| Credential | RN, MS |
| Practice Address |
182 Sw Academy St Suite 302 Dallas OR 97338-1922 |
| Practice Telephone | 5036238176 |
| Practice Fax Number | 5038313499 |
| Mailing Telephone | 5036238176 |
| Mailing Fax Number | 5038313499 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
086006546RN | OR | Nursing Service Providers |
| Street Address |
182 SW ACADEMY ST SUITE 302 |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308632 | Alfredo Jose Soto | Psychiatry & Neurology | 182 Sw Academy St, Suite 30, Dallas, OR 97338-1922 | 2006-08-29 |
| 1528669918 | Helen Canchola Martinez | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-11-03 |
| 1013525542 | Zachary Beeler | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-07-21 |
| 1376175398 | Theresa Ann Kollars | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-02-07 |
| 1346883071 | Heather Grandis | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-25 |
| 1154963320 | Tori A Geter | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-09 |
| 1801437231 | Maria Ross | Student in an Organized Health Care Education/Training Program | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-07 |
| 1144871096 | Kayli Peterson | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-09-23 |
| 1174170187 | Mikel-anne Devine | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-23 |
| 1699320440 | Kelli Diane Bennett | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497098883 | Leo I Nwaokwu | Registered Nurse | 18749 Marsh Ln Apt 213, Dallas, TX 75287-3506 | 2013-04-03 |
| 1619212891 | Mable Claire Mccall | Registered Nurse | 4105 Junius Street, Agape Clinic @ Gumc, Dallas, TX 75246 | 2012-11-29 |
| 1154684108 | Halimatou Barry | Registered Nurse | 9475 Forest Springs Dr Apt 2097, Dallas, TX 75243-6016 | 2012-06-24 |
| 1821274226 | William A. Tice | Registered Nurse | 438 Sw Court St, Dallas, OR 97338-1808 | 2008-01-15 |
| 1700283710 | Holly Lynn Dodge | Registered Nurse | 182 Sw Academy St Ste 302, Dallas, OR 97338-1900 | 2014-11-20 |
| 1124329230 | Sarah Jayne Barrett | Registered Nurse | 182 Sw Academy St, Suite 302, Dallas, OR 97338-1922 | 2010-11-04 |
| 1821318825 | Lisa Thompson Videau | Registered Nurse | 8144 Walnut Hill Ln, Dallas, TX 75231-4388 | 2010-06-02 |
| 1992985766 | Richard Alan Newton | Registered Nurse | 182 Sw Academy St, Suite 302, Dallas, OR 97338-1922 | 2007-11-09 |
| 1841412038 | Ruth Cecelia Demaio | Registered Nurse | 182 Sw Academy St, Dallas, OR 97338-1922 | 2007-05-03 |
| 1568674588 | Vicki Lynn Giusti | Registered Nurse | 182 Sw Academy St, Suite 302, Dallas, OR 97338-1922 | 2007-05-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.