SUSAN RAE MASOG (NPI# 1225207244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225207244 |
| Entity Type | Individual |
| Full Name | SUSAN RAE MASOG |
| Credential | BS,CADC1 |
| Practice Address |
740 W Airway Rd Lebanon OR 97355-1337 |
| Practice Telephone | 5414515617 |
| Mailing Telephone | 5414515617 |
| Enumeration Date | 2008-02-23 |
| Last Update Date | 2008-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
04-11-19 | OR | Behavioral Health & Social Service Providers |
| Street Address |
740 W AIRWAY RD |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523059 | Sommer Mae Green | Counselor | 4216 Hunting Hawk Dr, Lebanon, OH 45036-7040 | 2020-09-16 |
| 1174169817 | Kacie Elizabeth Giffin | Counselor | 3883 Keever Pass, Lebanon, OH 45036-8837 | 2019-11-18 |
| 1184271264 | Jessica Stacy | Counselor | 15 N Corwin St, Lebanon, OH 45036-2001 | 2019-08-22 |
| 1063078855 | Southwest Regional Counseling Service Inc | Counselor | 1114 E Main St Ste 4, Lebanon, VA 24266-5014 | 2019-05-16 |
| 1508420357 | Ascension Therapy Services, LLC | Counselor | 1545 Shaker Run Blvd, Lebanon, OH 45036-4004 | 2019-04-26 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1063980779 | William Neil Caldwell | Counselor | 241 N Depot St, Lebanon, KY 40033-1419 | 2018-11-12 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1720575616 | Nadine Alicia Cambridge | Counselor | 777 Columbus Ave Ste 7-d, Lebanon, OH 45036-1684 | 2018-04-17 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.