Individual
SUSAN PRIMROSE AVIOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPS
Contact information
Practice address
625 O CONNELL, NORTH BEND, OR 97459-2814
(541) 756-7748
(541) 756-9519
Mailing address
625 O CONNELL, NORTH BEND, OR 97459-2814
(541) 756-7748
(541) 756-9519
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
COO98
OR
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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