Individual
BRIANNA LYNN SUSTERSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-4533
Mailing address
3814 N LONGVIEW AVE, PORTLAND, OR 97227-1024
(302) 893-2131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD153915
OR
Other
Enumeration date
05/28/2008
Last updated
12/26/2012
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