Doucette, Susan Marie

Doucette, Susan Marie is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 460, Portland OR 97210-3057. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Doucette, Susan Marie can be contacted via phone (503) 413-6744.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Suite 460 Portland OR 97210-3057
Phone: (503) 413-6744
Fax: (503) 413-6944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 20752 Oregon

Profile Details

NPI number 1235340688
LBN Legal business name Doucette, Susan Marie
Credentials AU.D, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Feb 13th, 2009 - 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 1235340688 NPPES
Oregon MEDICAID 227853

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