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Contact Information

SUZANNE BERNARD
4531 SE BELMONT ST
PORTLAND, OR97215-1675
 Phone: 503-853-9789
 Fax: 971-246-5199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for SUZANNE BERNARD · (Female)

NPI Number 1992256762
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2016
Last updated 10/17/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # L5638
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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