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1366547762
SUSAN D PORTER
CLACKAMAS, OR
NPI
1366547762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR OR 087006173N3)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Ms. SUSAN D PORTER A.N.P.
10180 SE SUNNYSIDE RD CARDIOLOGY
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
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Mailing Address
Ms. SUSAN D PORTER A.N.P.
1828 SE 42ND AVE
PORTLAND, OR 97215-3755
Phone number: 503-236-8836
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