Individual
MRS. SUSAN MARIE MESKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 215-9800
(503) 215-9810
Mailing address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 215-9800
(503) 215-9810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200830105LPN
OR
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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