Individual provider · Type 1 NPI
Suzanne Rose Kangas, PA-C
Medical Physician Assistant · Orofino, ID
NPI number
1871912915
Active
Practice location
301 Cedar St
Orofino, ID 83544-9029
Other practice locations
- 301 Cedar St, Orofino, ID 83544-9029 · (208) 476-5777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA2273 (ID) |
| Physician Assistant | 363A00000X | 2324 (AK) |
Medical Physician Assistant: Definition to come...
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About NPI 1871912915
Suzanne Rose Kangas, PA-C's National Provider Identifier is 1871912915, issued on Apr 15, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orofino, ID. The record was last updated on Jul 14, 2022.