Individual
DR. SUSAN AHLENE NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD MS
Contact information
Practice address
910 NE 82ND ST, VANCOUVER, WA 98665-8847
(360) 546-0183
(360) 546-0223
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE 00010334
WA
Other
Enumeration date
01/08/2007
Last updated
05/04/2015
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