Organization
SUSAN CLIFFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN CLIFFORD PHD (PSYCHOLOGIST)
(541) 706-9322
Entity
Organization
Contact information
Practice address
1001 SW EMKAY DR STE 100, BEND, OR 97702-3663
(541) 706-9322
Mailing address
PO BOX 197, JOSEPH, OR 97846-0197
(541) 706-9322
(833) 510-0436
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2693
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821133802
NPPES
CA
Enumeration date
07/11/2017
Last updated
12/22/2023
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