Provider Demographics
NPI:1710023312
Name:HOPKINS, SUSAN COTTRELL (LICENSED ACUPUNCTURI)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:COTTRELL
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURI
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:C
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICENSED ACUPUNCTURI
Mailing Address - Street 1:2160 WESTWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401
Mailing Address - Country:US
Mailing Address - Phone:541-484-4064
Mailing Address - Fax:
Practice Address - Street 1:2160 WESTWOOD LANE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-484-4064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR008925171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist