Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Marie Susort, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770414278

Lauren Marie Susort, PMHNP-BC is a Nurse Practitioner in Medford, Oregon. Graduated from Yale University School of Medicine in 2026. Practices as a sole proprietor. Licensed in Oregon.

Trained at
Yale University School of Medicine
Licensed in
OR
In the registry since
2026
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

724 S Central Ave Ste 101
Medford, OR 97501-7808
Phone: (541) 249-7724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10061429 (OR)

Record details

NPI number1770414278
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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