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Susan Dawdy, 1041C0700X

NPI 1619017142 · on the registry since 2007 · sole proprietor

Practice

Address
4241 Se 15th Ave
Portland, OR 97202
Phone
(413) 281-5130
Fax
(413) 961-2574

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
251S00000X
Licence states on file
OR, MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon