Individual
SUZANNA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
600 NE 8TH ST, GRESHAM, OR 97030-7317
(971) 469-8679
Mailing address
619 NW 6TH AVE FL 7, PORTLAND, OR 97209-3991
(503) 988-7849
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
112184
OR
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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