Individual
SUZANNE ELICE DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7240 NE SANDY BLVD, PORTLAND, OR 97213-5741
(503) 477-6700
(971) 279-4771
Mailing address
7240 NE SANDY BLVD, PORTLAND, OR 97213-5741
(503) 477-6700
(971) 279-4771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA184444
OR
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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