Individual
SUSAN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 588-5816
(503) 588-5803
Mailing address
5104 1/2 PLOMONDON ST, VANCOUVER, WA 98661-6192
(360) 521-8870
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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