Individual
SUZANNE L MIGCHELBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19250 SW 65TH AVE, STE 110, TUALATIN, OR 97062-7452
(503) 692-1205
(503) 692-1207
Mailing address
2222 NW LOVEJOY ST STE 505, PORTLAND, OR 97210-5103
(503) 242-9850
(503) 226-3539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD21844
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287446
—
OR
Enumeration date
03/14/2006
Last updated
04/20/2020
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