Individual
SUSAN MICHELLE SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3893
(541) 768-5144
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD192739
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2014
Last updated
09/20/2023
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