Hayflick, Susan

Hayflick, Susan is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Attn: Glenda Benton, L103A, Portland OR 97239-3011. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, Allopathic & Osteopathic Physicians / Clinical Molecular Genetics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Hayflick, Susan can be contacted via phone (503) 494-5516.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Attn: Glenda Benton, L103A Portland OR 97239-3011
Phone: (503) 494-5516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD18081 Oregon
Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics 207SG0202X 18081 Oregon
Allopathic & Osteopathic Physicians / Clinical Molecular Genetics 207SG0203X 18081 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD18081 Oregon

Profile Details

NPI number 1538174057
LBN Legal business name Hayflick, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 16th, 2007 - about 17 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 1538174057 NPPES
Oregon MEDICAID 115753

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