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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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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