Individual provider Active NPI

Susan Lee Rhedmon

  • Case Management Registered Nurse
  • Portland, OR
National Provider Identifier
1437068319
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
200541685 Issued in OR
Practice address
11611 NE Ainsworth Cir
Portland, OR 97220-9017
Phone
(503) 255-1841
NPI assigned
Sep 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 200541685 OR Primary

Addresses

Primary practice location

11611 NE Ainsworth Cir
Portland, OR 97220-9017

Mailing address

6617 N Greeley Ave
Portland, OR 97217-5045
Phone (360) 991-2192

Medicare participation

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1437068319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 N GREELEY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175045",
            "telephone_number": "360-991-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 NE AINSWORTH CIR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209017",
            "telephone_number": "503-255-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEDMON",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OR",
            "license": "200541685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.