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Susan Mumm
Addiction (Substance Use Disorder) Counselor in Beaverton, Oregon
NPI 1730720210

Susan Mumm is an Addiction (Substance Use Disorder) Counselor based in Newberg, OR and is specialized in Addiction (Substance Use Disorder). Susan Mumm practices in Beaverton, OR. The NPI Number for Susan Mumm is 1730720210 and holds a License No. (Oregon).

The current practice location address for Susan Mumm is 12655 Sw Center St Ste 100, Beaverton, OR and can be reached out via phone at 503-828-3402.

Location: 12655 Sw Center St Ste 100, Beaverton, OR, 97132-3656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730720210
Provider Name
Susan Mumm
Credential
Provider Entity Type
Individual
Gender
Female
Address
12655 Sw Center St Ste 100, Beaverton, OR, 97132-3656
Phone Number
503-828-3402
Fax Number
Provider Enumeration Date
10/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12655 Sw Center St Ste 100
City
Beaverton
State
Oregon
Zip
97005-1600
Phone Number
503-828-3402
Fax Number
person
Provider Business Mailing Address Details
Address
12655 Sw Center St Ste 100
City
Beaverton
State
Oregon
Zip
97005-1600
Phone Number
503-828-3402
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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