Individual
SUSAN MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22260 SW 102ND PL, TUALATIN, OR 97062-7199
(503) 330-6627
Mailing address
22260 SW 102ND PL, TUALATIN, OR 97062-7199
(503) 330-6627
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD19617
OR
209800000X
Legal Medicine (M.D./D.O.) Physician
MD19617
OR
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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