Koch, Susan Elise
Koch, Susan Elise is an individual health care provider with primary practice located at 9900 Se Sunnyside Rd , Clackamas OR 97015-9750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Koch, Susan Elise can be contacted via phone (503) 653-6440.Contact Information
Primary practice address
9900 Se Sunnyside Rd
Clackamas OR 97015-9750
Phone: (503) 653-6440
Fax: (503) 571-8974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD21378 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00037941 | Washington |
Profile Details
| NPI number | 1912092693 |
|---|---|
| LBN Legal business name | Koch, Susan Elise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 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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