Individual
DANNY RONAN SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
(503) 362-4510
Mailing address
2405 CORAL AVE NE APT B, SALEM, OR 97305-4231
(720) 980-9997
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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