Individual
SUSAN M PRENETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5847 NE 122ND AVE, PORTLAND, OR 97230-1079
(971) 339-7040
Mailing address
7905 N WASHBURNE AVE, PORTLAND, OR 97217-7249
(971) 570-3757
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
135555
CA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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