Susannah Bock Castle PSY.D

NPI 1194925859 - Psychologist - 103TC0700X

NPI Details
NPI 1194925859
Gender Female
Enumeration Date 07/20/2007
Last Updated 06/06/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
5200 SW MACADAM AVE
SUITE 580
PORTLAND OR, 97239-6103, US
Phone (503) 970-2942
Fax
Business Location
5200 SW MACADAM AVE
SUITE 580
PORTLAND OR, 97239-6103, US
Phone (503) 970-2942
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Oregon
License Number 1825
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According to our database, Dr. Susannah Bock Castle PSY.D NPI is 1194925859, taxonomy code is 103TC0700X and license number is 1825, license state is located at Oregon. Susannah Bock Castle PSY.D physically located at 5200 Sw Macadam Ave, Portland OR, 97239-6103. NPI Number Susannah Bock Castle PSY.D has the Individual type.

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1194925859 NPI number is provided on an as is basis without warranty of any kind. 1194925859 is maintained by the National Plan & Provider Enumeration System. The contents of Susannah Bock Castle PSY.D are for informational purposes only.