Individual
DR. SUSAN E ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1340 SW BERTHA BLVD, STE 102, PORTLAND, OR 97219-2097
(503) 880-9204
(360) 574-5991
Mailing address
4207 SE WOODSTOCK BLVD, BOX 495, PORTLAND, OR 97206
(503) 880-9204
(360) 574-5991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
71 3760
OR
Other
Enumeration date
09/10/2007
Last updated
10/27/2018
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