Sherwood, Susan

Sherwood, Susan is an individual health care provider with primary practice located at 1776 Sw Madison St , Portland OR 97205-1715. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sherwood, Susan can be contacted via phone (503) 224-1044.

Contact Information

Primary practice address
1776 Sw Madison St Portland OR 97205-1715
Fax: (503) 621-2235
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L2998 Oregon

Profile Details

NPI number 1144219114
LBN Legal business name Sherwood, Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1144219114 NPPES
Oregon MEDICAID 126370

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