Dr. SUSAN ELISE KOCH -- m.d.
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1912092693- Provider Type
- Individual Provider (NPI-1)
- Credentials
- m.d.
- Status
- Active
Contact & Location
- Address
- 9900 SE SUNNYSIDE RD, CLACKAMAS, OR, 970159750
- Phone
- (503) 653-6440
- Fax
- (503) 571-8974
Specialties & Taxonomies
Dermatology
Primary License: OR #md21378
Dermatology
License: WA #md00037941