Susan T Chacko
Susan T Chacko is a Psychiatric/Mental Health Nurse Practitioner in Eugene, Oregon. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2023
Practice location Address checks out
1675 W 11th AveEugene, OR 97402-3711
Phone: (480) 719-0098
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 263405 (AZ) |
|---|
Record details
| NPI number | 1609559210 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2023 |
| Last updated in NPPES | February 12, 2025 |
| Certification date | February 12, 2025 |
| Mailing address | 4771 Calumet Way, Eugene, OR 97404-3306 |
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