Individual
SUZANNE MCCLINTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
891 23RD ST NE, SALEM, OR 97301
(503) 364-2181
(503) 364-0364
Mailing address
891 23RD ST NE, SALEM, OR 97301
(503) 364-2181
(503) 364-0364
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13517
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207050
—
OR
Enumeration date
07/11/2006
Last updated
07/09/2018
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