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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN MIKKELSEN, M.D.

Active Sole Proprietor

SUSAN MIKKELSEN, M.D. is a Pulmonary Disease healthcare provider located in CLACKAMAS, Oregon. NPI 1538274048 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · CLACKAMAS, OR

Registration Details

NPI Number
1538274048
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2006 (19.792101479237 yrs)
Last Updated
Feb 5, 2015
Licenses
MD24386 (OR)
MD00045975 (WA)
MD24386 (OR)
MD00045975 (WA)
Sole Proprietor
Yes

Practice Information

Address
10180 SE SUNNYSIDE RD
CLACKAMAS, OR, 970158970
Browse OR providers · Browse ZIP 97015
Phone
5035713546
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Critical Care Medicine
Additional Specialty
Pulmonary Disease
Additional Specialty
Pulmonary Disease

Other Pulmonary Disease Providers in CLACKAMAS, OR

Name Credential NPI
DR. RICHARD ANTHONY MULARSKI MD, MCR, MSHS 1780699256
MAXINE E DEXTER MD 1306959580
DR. JONATHAN ALLYN RETTMANN M.D. 1558478255
DR. ETHAN EMMET CORCORAN M.D., PH.D. 1841417532
DR. JOSHUA JOSEPH FILNER MD MPH 1669663431
DR. HOLLY E VANNI M.D. 1437328143
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.