Denman, Susan Tobey

Denman, Susan Tobey is an sole proprietor health care provider with primary practice located at 18345 Sw Alexander St Suite B, Aloha OR 97006-3960. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Denman, Susan Tobey can be contacted via phone (503) 649-9477.

Contact Information

Primary practice address
18345 Sw Alexander St Suite B Aloha OR 97006-3960
Fax: (503) 649-1272
Website:

Profile Details

NPI number 1700871803
LBN Legal business name Denman, Susan Tobey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2005
Last updated Jul 26th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700871803 NPPES
Other 38D0621698 CLIA
Other 070002027 CLIA
Other 048142000 CLIA
MEDICAID 260760 CLIA

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