Susan Bisgyer, FNP

Individual provider Active NPI Nurse Practitioner · Forest Grove, OR

NPI 1265487557 · NPPES record last updated Feb 25, 2020

Key facts

NPI
1265487557
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
091006994N1 (OR)
Practice address
1715 Bonnie LN
Forest Grove, OR 97116
Phone
(503) 359-4057
Fax
(503) 359-4756
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sbisgyer633@direct.ochin.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 091006994N1 OR Yes

Addresses

Primary practice location

1715 Bonnie LN
Forest Grove, OR 97116

Mailing address

PO Box 6149
Aloha, OR 97007-0149
Phone (503) 352-8657

Other providers in Forest Grove, OR

All providers in Forest Grove, OR · Nurse Practitioner in Oregon

Sources for this page

Verify at the official NPI Registry.