Dr SUSAN R BERRY NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2000.
PINE EAGLE HEALTH PLANNING COMMITTEE
218 N PINE ST
HALFWAY
OR
978342506
Tel: 5417425023
| Npi | 1861416240 |
| Pac Id | 0547277360 |
| Professional Enrollment Id | I20060320000089 |
| Last Name | BERRY |
| First Name | SUSAN |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PINE EAGLE HEALTH PLANNING COMMITTEE |
| Group Practice Pac Id | 8729075346 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 218 N PINE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | HALFWAY |
| State | OR |
| Zip Code | 978342506 |
| Phone Number | 5417425023 |
| Hospital Affiliation Ccn 1 | 381315 |
| Hospital Affiliation Lbn 1 | ST. ALPHONSUS MEDICAL CENTER - BAKER CITY |
| Hospital Affiliation Ccn 2 | 130006 |
| Hospital Affiliation Lbn 2 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 381321 |
| Hospital Affiliation Lbn 3 | GRANDE RONDE HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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