IndividualActive
Susan Fanning, RN
NPI 1427900562 · General Practice Registered Nurse · Pendleton, OR
Provider details
- NPI number
- 1427900562
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 202002079RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
200 Se Hailey Ave Ste 204
Pendleton, OR 97801-3072
Phone: (541) 663-4104
Fax: (541) 663-4142
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 882
Pendleton, OR 97801-0882
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.