Susan Grover Colasurdo, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Portland, OR. Individual provider (NPI-1).
NPI number1376602292
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1376602292
- Entity type
- Individual (NPI-1)
- Name
- Susan Grover Colasurdo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2006
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | MD14419 | OR | Yes |
Practice location
1500 Sw 5th Ave Unit 806Portland, OR 97201-5422
Phone 541-913-8643 · Fax 541-366-4451
Mailing address
1500 Sw 5th Ave Unit 806Portland, OR 97201-5422
Phone 541-653-9619 · Fax 541-366-4451
Other practice locations
74b Centennial Loop Ste 100
Eugene, OR 97401-7919
Eugene, OR 97401-7919
Phone 503-346-1640
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