DR. Susan Elise Koch, M.D.

NPI #1912092693 in Clackamas, Oregon

Provider Information

NPI Number: 1912092693
Entity Type: Individual
Name: DR. Susan Elise Koch, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9900 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-9750
Phone: (503) 653-6440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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