Individual
MRS. SUSAN M DOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 N BRUTSCHER ST., STE 204, NEWBERG, OR 97132-6096
(503) 994-8424
(503) 554-9967
Mailing address
901 N BRUTSCHER ST., STE 204, NEWBERG, OR 97132-6096
(503) 994-8424
(503) 554-9967
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C2835
OR
101Y00000X
Counselor
Primary
LPC2835
OR
101YP2500X
Professional Counselor
LPC2835
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2835
STATE OF OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS
OR
Enumeration date
08/10/2006
Last updated
11/16/2018
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