Individual provider · Type 1 NPI
Susan Grover Colasurdo, MD
Child & Adolescent Psychiatry Physician · Portland, OR
NPI number
1376602292
Active
Practice location
1500 SW 5th Ave Unit 806
Portland, OR 97201-5422
Fax (541) 366-4451
Other practice locations
- 74B Centennial Loop Ste 100, Eugene, OR 97401-7919 · (503) 346-1640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | MD14419 (OR) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1376602292
Susan Grover Colasurdo, MD's National Provider Identifier is 1376602292, issued on Dec 6, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Portland, OR. The record was last updated on Sep 24, 2026.