Susan Mihm
Counselor, Mental Health in Fairview, OR. Individual provider (NPI-1).
NPI number1508319476
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1508319476
- Entity type
- Individual (NPI-1)
- Name
- Susan Mihm
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2016
- Last updated
- Dec 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1945 Ne 205th AveFairview, OR 97024-9622
Phone 503-661-8050 · Fax 503-492-4651
Mailing address
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-858-8170
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