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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN MARIE GILLISPIE, FNP

Active

SUSAN MARIE GILLISPIE, FNP is a Primary Care Nurse Practitioner healthcare provider located in FOREST GROVE, Oregon. NPI 1134512072 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · FOREST GROVE, OR

Registration Details

NPI Number
1134512072
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2015 (11.428902568576 yrs)
Last Updated
Apr 26, 2021
Licenses
201240084RN (OR)
201501505NP-PP (OR)

Practice Information

Address
3838 PACIFIC AVE
FOREST GROVE, OR, 971162224
Browse OR providers · Browse ZIP 97116
Phone
5039920288
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.