Individual
SUSAN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GCFP
Contact information
Practice address
3026 NE OREGON ST, PORTLAND, OR 97232-2450
(503) 313-9813
Mailing address
3059 NE GLISAN ST, PORTLAND, OR 97232-3272
(503) 313-9813
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
4526
OR
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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