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1770573354
SUSAN ELMORE
PORTLAND, OR
NPI
1770573354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR MD19811)
Enumeration Date
2005-10-25
Last Update Date
2007-07-08
Business Address
-- SUSAN ELMORE MD
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
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Mailing Address
-- SUSAN ELMORE MD
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-231-2641
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