Individual
SUZETTE LANNIEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 644-2545
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 644-2545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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