Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN ELISE KOCH, M.D.
ActiveDR. SUSAN ELISE KOCH, M.D. is a Dermatology healthcare provider located in CLACKAMAS, Oregon. NPI 1912092693 is currently active in the NPPES registry. Verify at CMS.
Dermatology · CLACKAMAS, OR
Registration Details
- NPI Number
- 1912092693
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2006 (19.817050004538 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
MD21378 (OR)MD00037941 (WA)
Practice Information
- Address
-
9900 SE SUNNYSIDE RDCLACKAMAS, OR, 970159750Browse OR providers · Browse ZIP 97015
- Phone
- 5036536440
- Fax
- 5035718974
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| PETER E GOODKIN | MD | 1225017288 |
| DR. TONY SHUO-WEN CLINTON-MERRELL | MD | 1982675690 |
| KENNETH MYUNGDEI KANG | M.D. | 1760495980 |
| MATTHEW G BASCO | MD | 1386732923 |
| TRAVIS JAMES WIDMAN | M.D. | 1700928397 |
| DANIEL C. ROOT | M.D. | 1184824237 |
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.