SUSAN MUMM

BEAVERTON, OR
NPI1730720210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-04
Last Update Date2019-10-04
Business Address
SUSAN MUMM
12655 SW CENTER ST STE 100
BEAVERTON, OR 97005-1600
Phone number: 503-828-3402
Mailing Address
SUSAN MUMM
901 S WILLAMETTE ST APT 3
NEWBERG, OR 97132-3656
Phone number: 503-449-2742
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