SUSAN MIKKELSEN

CLACKAMAS, OR
NPI1538274048
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: OR  MD24386)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: OR  MD24386)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: WA  MD00045975)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: WA  MD00045975)
Enumeration Date2006-08-21
Last Update Date2015-02-05
Business Address
-- SUSAN MIKKELSEN M.D.
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-3546
Mailing Address
-- SUSAN MIKKELSEN M.D.
3503 NE STANTON ST
PORTLAND, OR 97212-2746
Phone number: 503-245-5107