Individual
DR. SUSAN ORCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7415 N OATMAN AVE, PORTLAND, OR 97217-1213
(503) 358-6479
Mailing address
7810 N CHAUTAUQUA BLVD, PORTLAND, OR 97217-5925
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1736
OR
Other
Enumeration date
04/11/2010
Last updated
04/11/2010
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