Mikkelsen, Susan

Mikkelsen, Susan is an sole proprietor health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Mikkelsen, Susan can be contacted via phone (503) 571-3546.

Contact Information

Primary practice address
10180 Se Sunnyside Rd Clackamas OR 97015-8970
Phone: (503) 571-3546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD24386 Oregon
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD00045975 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD24386 Oregon
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD00045975 Washington

Profile Details

NPI number 1538274048
LBN Legal business name Mikkelsen, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Feb 5th, 2015 - about 11 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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