Susan D Fordice

NPI #1487081394 in Pendleton, Oregon

Provider Information

NPI Number
1487081394
Entity Type
Individual
Name
Susan D Fordice
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Oct 9, 2013
Last Updated
Oct 9, 2013

Practice Location

Address
2013 SW OLSON AVE
State
Oregon
ZIP Code
97801-4421
Phone
(541) 240-1446

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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