Individual
MS. SUSAN MARGARET TREZISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5119 NE 57TH AVE, PORTLAND, OR 97218-2584
(503) 215-8060
(503) 215-8082
Mailing address
5119 NE 57TH AVE, PORTLAND, OR 97218-2584
(503) 215-8060
(503) 215-8082
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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