Individual
SUSAN G. PICKREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD22462
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288259
—
OR
Enumeration date
12/19/2006
Last updated
08/30/2012
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