Individual provider · Type 1 NPI
Susan Marie, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1235267329
Active
Practice location
426 SW Stark St, 8th Floor
Portland, OR 97204-2347
Fax (503) 988-5180
Mailing address
421 SW Oak St, 210
Portland, OR 97204-1817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 200250033NP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1235267329
Susan Marie, PMHNP's National Provider Identifier is 1235267329, issued on Mar 1, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Dec 21, 2009.