SearchOregon207RP1001X

Susan Mikkelsen, M.D

NPI 1538274048 · on the registry since 2006 · sole proprietor

Practice

Address
10180 Se Sunnyside Rd
Clackamas, OR 97015
Phone
(503) 571-3546
Organisation at this address
Brookside Center
Kaiser Permanente
Kaiser Permanente
Kaiser Permanente
Kaiser Permanente
Inferred from a shared address, not stated in the registry.
Clinicians at this address
769

Registry record

Primary taxonomy
207RP1001X
207RP1001X
Also registered as
207RC0200X
207RC0200X
207RP1001X
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon