Individual provider · Type 1 NPI
Susan M. Goranson, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1649216458
Active
Practice location
9205 SW Barnes Rd, 7W
Portland, OR 97225-6603
Mailing address
PO Box 3158
Portland, OR 97208-3158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 200450031NP (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 200450031NP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
485 other providers at this address
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About NPI 1649216458
Susan M. Goranson, PMHNP's National Provider Identifier is 1649216458, issued on Jun 21, 2006. 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 Mar 10, 2021.