Individual provider · Type 1 NPI

Susan Elise Koch, MD

Dermatology Physician · Clackamas, OR

NPI number 1912092693 Active

Practice location

9900 SE Sunnyside Rd
Clackamas, OR 97015-9750

Call (503) 653-6440 Map

Fax (503) 571-8974

Mailing address

20200 SE Walgren Rd
Damascus, OR 97089

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XMD21378 (OR)
Dermatology Physician 207N00000XMD00037941 (WA)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1912092693

Susan Elise Koch, MD's National Provider Identifier is 1912092693, issued on Oct 4, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Clackamas, OR. The record was last updated on Jul 8, 2007.