Individual
SUSAN HAYFLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, ATTN: GLENDA BENTON, L103A, PORTLAND, OR 97239-3011
(503) 494-5516
Mailing address
3181 SW SAM JACKSON PARK ROAD, ATTENTION: GLENDA BENTON, L103A, PORTLAND, OR 97239-2110
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD18081
OR
207SG0202X
Clinical Biochemical Genetics Physician
18081
OR
207SG0203X
Clinical Molecular Genetics Physician
18081
OR
208000000X
Pediatrics Physician
MD18081
OR
208D00000X
General Practice Physician
MD18081
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115753
—
OR
Enumeration date
07/31/2006
Last updated
04/15/2026
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