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
Phone: (503) 649-9477
Fax: (503) 649-1272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 12671 | Oregon |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 12671 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 12671 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 12671 | Oregon |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 12671 | Oregon |
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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700871803 | NPPES |
| Other | 38D0621698 | CLIA | |
| Other | 070002027 | CLIA | |
| Other | 048142000 | CLIA | |
| MEDICAID | 260760 | CLIA |
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