Suzan Jan Linehan, BS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2177 Issued in MA

Practice address

29700 SW Mountain Rd
West Linn, OR 97068-9649

Phone

(508) 728-2432

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Suzan Jan Linehan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1891214854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER ST STE 203",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232301",
            "telephone_number": "971-770-0404",
            "fax_number": "503-874-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29700 SW MOUNTAIN RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970689649",
            "telephone_number": "508-728-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEHAN",
        "first_name": "SUZAN",
        "middle_name": "JAN",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "2177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZAN",
            "last_name": "LINEHAN",
            "middle_name": "JAN",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in West Linn, OR
• Providers in West Linn, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.