Individual
DR. SUSAN SMITH MERSEREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10300 SW GREENBURG RD., STE. 430, PORTLAND, OR 97223-5453
(503) 244-2599
(503) 244-2605
Mailing address
10300 SW GREENBURG RD., STE. 430, PORTLAND, OR 97223-5453
(503) 244-2599
(503) 244-2605
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
943
OR
Other
Enumeration date
01/16/2007
Last updated
07/09/2007
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