Individual
SUSAN ELAINE ARTHURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 SW ROBINHOOD DR, DALLAS, OR 97338-1839
(503) 548-3047
Mailing address
745 SW ROBINHOOD DR, DALLAS, OR 97338-1839
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F00441448
MODA
OR
01
—
F00441448
MODA
—
Enumeration date
08/11/2018
Last updated
08/11/2018
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