Susan Prouty
Susan Prouty is an Other Technician in Roseburg, Oregon. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
548 SE Jackson StRoseburg, OR 97470-4983
Phone: (541) 672-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1467998369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 16, 2017 |
| Last updated in NPPES | January 10, 2024 |
| Certification date | January 10, 2024 |
| Mailing address | Po Box 1121, Roseburg, OR 97470-0254 |
Other providers in Roseburg
-
Rumen Doggett
2700 NW Stewart Pkwy, Roseburg, OR 97471-1281 · (541) 673-0611