Individual provider · Type 1 NPI
Susan Ruth Eki, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Gresham, OR
NPI number
1396947065
Active
Practice location
1217 NE Burnside Rd Ste 503C
Gresham, OR 97030-5770
Fax (971) 206-6387
Mailing address
644 SW Walters Dr
Gresham, OR 97080-9351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 077037817N2 (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 077037817N2 (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 200250006NP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1396947065
Susan Ruth Eki, PMHNP's National Provider Identifier is 1396947065, issued on Jun 4, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gresham, OR. The record was last updated on Sep 13, 2023.