Individual
MRS. SUSAN LIM BARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, UHS-2, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE UHS-2, PORTLAND, OR 97239-3011
(503) 494-7641
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200260052CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297947
—
OR
Enumeration date
06/18/2006
Last updated
04/03/2013
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