Individual
SUSAN PATRICIA ANDUAGA BOCANEGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3499
(503) 643-7565
(503) 626-4418
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3499
(503) 643-7565
(503) 626-4418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58314
AZ
208000000X
Pediatrics Physician
58314
AZ
Other
Enumeration date
03/27/2015
Last updated
05/04/2026
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