person
Susan Marie, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1235267329

Susan Marie is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Susan Marie practices in Portland, OR and has the professional credentials of PMHNP. The NPI Number for Susan Marie is 1235267329 and holds a License No. 200250033NP (Oregon).

The current practice location address for Susan Marie is 426 Sw Stark St, Portland, OR and can be reached out via phone at 503-988-3674 and via fax at 503-988-5180.

Location: 426 Sw Stark St, Portland, OR, 97204-1817
person
Provider Profile Details
NPI Number
1235267329
Provider Name
Susan Marie
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
426 Sw Stark St, Portland, OR, 97204-1817
Phone Number
503-988-3674
Fax Number
503-988-5180
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022959 05 OR
institution
Provider Business Practice Location Address Details
Address
426 Sw Stark St
City
State
Zip
97204-2347
Phone Number
503-988-3674
Fax Number
503-988-5180
person
Provider Business Mailing Address Details
Address
426 Sw Stark St
City
State
Zip
97204-2347
Phone Number
503-988-3674
Fax Number
503-988-5180
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
200250033NP (Oregon)
Definition
Definition to come...
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