Individual provider · Type 1 NPI

Susan Mumm

Addiction (Substance Use Disorder) Counselor · Beaverton, OR

NPI number 1730720210 Active

Practice location

12655 SW Center St Ste 100
Beaverton, OR 97005-1600

Call (503) 828-3402 Map

Mailing address

901 S Willamette St Apt 3
Newberg, OR 97132-3656

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1730720210

Susan Mumm's National Provider Identifier is 1730720210, issued on Oct 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beaverton, OR. The record was last updated on Oct 4, 2019.