Individual
SUSAN SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11010 SE DIVISION ST, PORTLAND, OR 97266-6400
(503) 704-4579
Mailing address
8825 SE 42ND AVE, MILWAUKIE, OR 97222-5568
(503) 704-4579
(971) 245-3416
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/26/2014
Last updated
03/08/2019
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