Individual
SUSAN ELIZABETH SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8372
Mailing address
18978 INDIAN SPRINGS RD, LAKE OSWEGO, OR 97035-8330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
000028675N3
OR
363LA2200X
Adult Health Nurse Practitioner
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150067
—
OR
Enumeration date
07/31/2006
Last updated
07/08/2007
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