Doctor Name: | SUSAN ELIZABETH SLIGH |
NPI Number: | 1710277330 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 200843137 |
Business Practice Address: | 2001 Nw Monroe Ave 100 Corvallis, OR - 973305508 |
Business Phone Number: | 5417541369 |
Business Fax Number: | |
Mailing Address: | 444 Nw Elks Dr, CORVALLIS |
State: | OR |
Postal Code: | 973303745 |
Phone Number: | 5417541150 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2011 |
NPI Last Update Date: | 07/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 200843137 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |