Individual provider · Type 1 NPI

Susan Dodge

Mental Health Counselor · Milwaukie, OR

NPI number 1780042572 Active

Practice location

4199 SE King Rd
Milwaukie, OR 97222-5892

Call (503) 786-3830 Map

Fax (503) 653-3534

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780042572

Susan Dodge's National Provider Identifier is 1780042572, issued on Feb 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukie, OR. The record was last updated on Feb 8, 2016.