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Susan W Wangugi

Non-emergency Medical Transport (VAN) in Gresham, OR. Individual provider (NPI-1).

NPI number1558075903
StatusActive
Last updated in NPPESJan 10, 2023

Details

NPI
1558075903
Entity type
Individual (NPI-1)
Name
Susan W Wangugi
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 10, 2023
Certification date
Jan 10, 2023
Last updated
Jan 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)B202304ORYes

Practice location

890 Nw Riverview Ave
Gresham, OR 97030-4918

Phone 253-929-4061

Mailing address

890 Nw Riverview Ave
Gresham, OR 97030-4918

Phone 253-929-4061

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