Individual
SUVI CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11379 SE 31ST AVE, PORTLAND, OR 97222-6713
(971) 313-1858
Mailing address
11379 SE 31ST AVE, PORTLAND, OR 97222-6713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/07/2008
Last updated
01/07/2026
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