Individual
SUSANNE DYER HERFURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW2129
OR
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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