Individual
SUSAN DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12720 SW 3RD ST, BEAVERTON, OR 97005-2703
(503) 620-1191
Mailing address
12720 SW 3RD ST, BEAVERTON, OR 97005-2703
(503) 620-1191
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R6759
OR
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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