Anne Marie Suran, LMT, LMP, NCTMB

Primary specialty

SpecialistTaxonomy code 174400000X

License

11601 Issued in OR

Practice address

9220 SW Barbur Blvd
Suite 119 #227
Portland, OR 97219-5428

Phone

(503) 317-3831

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1457545204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 SW BARBUR BLVD",
            "address_2": "SUITE 119 #227",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195428",
            "telephone_number": "503-317-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 SW BARBUR BLVD",
            "address_2": "SUITE 119 #227",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195428",
            "telephone_number": "503-317-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAN",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT, LMP, NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "11601",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00020332",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "41939200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanapathy - Suppaiah, RN, PMHNP
• Ryne Supplitt
• Raveena Supra
• Kellie Supriano, M.S.
• Ria Sur
• Frank T. Suranyi, M.D.
• Corrine Gail Surban, RN, CADC I
• Loren Bailey Surber Quinney
• Surelux, LLC
• Surflogic Acupuncture, LLC

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.