SUSAN LYNN BANE (NPI# 1255603577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255603577 |
| Entity Type | Individual |
| Full Name | SUSAN LYNN BANE |
| Credential | RN |
| Practice Address |
9775 Se Sunnyside Rd Suite 200 Clackamas OR 97015-5739 |
| Mailing Address |
2051 Kaen Rd Suite 367 Oregon City OR 97045-4035 |
| Practice Telephone | 5037943838 |
| Practice Fax Number | 5037943850 |
| Mailing Telephone | 5037425300 |
| Mailing Fax Number | 5037425304 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 200242425RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1750942231 | Susan Hazel Bane | Internal Medicine | 258 Roxbury Rd, Hudson, NY 12534-3612 | 2019-06-25 |
| 1164578357 | Susan A Bane | Occupational Therapist | 1062 County Road 2125 E, Sidney, IL 61877-9601 | 2007-01-28 |
| 1568429264 | Susan Bane | Obstetrics & Gynecology | 101 Bethesda Dr, Greenville, NC 27834-7201 | 2006-04-27 |
| Street Address |
9775 SE SUNNYSIDE RD SUITE 200 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896681 | Nga Vu | Nurse Practitioner | 9775 Se Sunnyside Rd, Suite 200, Clackamas, OR 97015-5739 | 2005-10-25 |
| 1972035889 | Laboratory Corporation of America | Clinical Medical Laboratory | 9775 Se Sunnyside Rd, Suite 200, Clackamas, OR 97015-5739 | 2017-03-30 |
| 1871997551 | Hilary Seidel | Registered Nurse | 9775 Se Sunnyside Rd, Ste 200, Clackamas, OR 97015-5739 | 2014-10-09 |
| 1043656333 | Trang Tran | Registered Nurse | 9775 Se Sunnyside Rd, Ste 200, Clackamas, OR 97015-5739 | 2013-05-14 |
| 1659717171 | Sofia Gertson | Registered Nurse | 9775 Se Sunnyside Rd, Ste 200, Clackamas, OR 97015-5739 | 2013-05-13 |
| 1700221397 | Clackamas Dermatology PC | Dermatology | 9775 Se Sunnyside Rd, #500, Clackamas, OR 97015-5739 | 2013-05-08 |
| 1558706622 | Jolynn M Sherman | Registered Nurse | 9775 Se Sunnyside Rd, Suite 200, Clackamas, OR 97015-5739 | 2013-05-02 |
| 1366886293 | Angela Amundson | Registered Nurse | 9775 Se Sunnyside Rd, Suite 200, Clackamas, OR 97015-5739 | 2013-04-22 |
| 1235402348 | James Wesley Hart | Registered Nurse | 9775 Se Sunnyside Rd, Suite 200, Clackamas, OR 97015-5739 | 2012-02-21 |
| 1871866343 | Lisa Mariea Fithian | Registered Nurse | 9775 Se Sunnyside Rd, Suite 200, Clackamas, OR 97015-5739 | 2012-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285075010 | Kristen Marie Engstrom | Registered Nurse | 10800 Se Sunnyside Rd, Clackamas, OR 97015-7758 | 2013-07-09 |
| 1346887668 | Hannah N. Schroeder | Registered Nurse | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2019-12-05 |
| 1689184814 | Siwi S Toh-djojo | Registered Nurse | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2017-10-02 |
| 1629505185 | Daniel John Trainor | Registered Nurse | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2017-05-16 |
| 1871997551 | Hilary Seidel | Registered Nurse | 9775 Se Sunnyside Rd, Ste 200, Clackamas, OR 97015-5739 | 2014-10-09 |
| 1366876278 | Eunice L Weberg | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2013-08-27 |
| 1043656333 | Trang Tran | Registered Nurse | 9775 Se Sunnyside Rd, Ste 200, Clackamas, OR 97015-5739 | 2013-05-14 |
| 1659717171 | Sofia Gertson | Registered Nurse | 9775 Se Sunnyside Rd, Ste 200, Clackamas, OR 97015-5739 | 2013-05-13 |
| 1558706622 | Jolynn M Sherman | Registered Nurse | 9775 Se Sunnyside Rd, Suite 200, Clackamas, OR 97015-5739 | 2013-05-02 |
| 1366886293 | Angela Amundson | Registered Nurse | 9775 Se Sunnyside Rd, Suite 200, Clackamas, OR 97015-5739 | 2013-04-22 |
| Find all providers in CLACKAMAS | ||||
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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.