Individual
SUSAN MARIE DOUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D, CCC-A
Contact information
Practice address
1040 NW 22ND AVE, SUITE 460, PORTLAND, OR 97210-3057
(503) 413-6744
(503) 413-6944
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-4048
(503) 413-2910
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20752
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227853
—
OR
Enumeration date
05/25/2007
Last updated
02/13/2009
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