Individual
SUKI KATHERYN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # DC7P, PORTLAND, OR 97239-3011
(503) 418-5775
Mailing address
3181 SW SAM JACKSON PARK RD # DC7P, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD172300
OR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD172300
OR
Other
Enumeration date
03/21/2012
Last updated
04/19/2018
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