Provider Information for 1134335722
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Ms. SUSAN BARI EPSTEIN MFT
Sex: Female
NPI: 1134335722
Last Updated: 2022-01-10
Certification Date: 2022-01-10
Certification Date: 2022-01-10
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134335722 | ||||||||
| Enumeration Date | 2007-05-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 12014 SW 60TH AVE PORTLAND, OR 97219-7008 United States Phone: 818-981-1384 | Fax: | ||||||||
| Primary Practice Address | 12014 SW 60TH AVE PORTLAND, OR 97219-7008 United States Phone: 818-981-1384 | Fax: | ||||||||
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