Individual
SUSAN E POLCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1255 HILYARD ST, EUGENE, OR 97401-3718
(541) 685-1794
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD16479
OR
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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