Individual
MS. SUSAN STEVENSON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 NE GLISAN STREET, PORTLAND, OR 97232
(503) 232-1948
(503) 231-5438
Mailing address
2601 NE GLISAN STREET, PORTLAND, OR 97232
(503) 232-1948
(503) 231-5438
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
942
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295472
—
OR
Enumeration date
12/12/2006
Last updated
07/08/2007
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