Individual
SUSAN MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
2220 SW FIRST AVE, PORTLAND, OR 97201-5003
(503) 552-1551
(503) 295-3609
Mailing address
5225 NE 36TH AVE, PORTLAND, OR 97211-7439
(503) 281-4392
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0740
OR
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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