Individual
DR. SUZANNE MARIE DESCHAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1160 WALLACE RD NW, SALEM, OR 97304-3116
(503) 361-5400
Mailing address
1160 WALLACE RD NW, SALEM, OR 97304-3116
(503) 361-5400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27679
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10272
—
ND
01
—
14991
MEDICARE
ND
05
—
306023300
—
MN
Enumeration date
08/23/2007
Last updated
02/04/2022
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