Individual
SUSANNE H PURNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5710
(503) 346-0645
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5710
(503) 346-0645
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD22782
OR
2080P0205X
Pediatric Endocrinology Physician
Primary
MD22782
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287795
—
OR
Enumeration date
10/21/2005
Last updated
03/25/2026
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