Individual
MRS. ANNE MARIE SURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LMP, NCTMB
Contact information
Practice address
9220 SW BARBUR BLVD, SUITE 119 #227, PORTLAND, OR 97219-5428
(503) 317-3831
Mailing address
9220 SW BARBUR BLVD, SUITE 119 #227, PORTLAND, OR 97219-5428
(503) 317-3831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11601
OR
174400000X
Specialist
41939200
—
174400000X
Specialist
MA00020332
WA
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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