SUSAN MARIE

PORTLAND, OR
NPI1235267329
Former NameSUSAN MARIE GODSCHALX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  200250033NP)
Enumeration Date2007-03-01
Last Update Date2009-12-21
Business Address
-- SUSAN MARIE PMHNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
Mailing Address
-- SUSAN MARIE PMHNP
421 SW OAK ST 210
PORTLAND, OR 97204-1817
Phone number: 503-988-3674