Individual
DR. SUSAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
516 SE MORRISON ST, SUITE 510, PORTLAND, OR 97214-2327
(503) 914-0250
Mailing address
4110 SE HAWTHORNE BLVD # 235, PORTLAND, OR 97214-5246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2601
OR
Other
Enumeration date
01/12/2011
Last updated
02/18/2011
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