NPI 1205984655 · live from the CMS NPI Registry
Susan Ahlene Nordstrom, DMD MS
Dentist, Orthodontics and Dentofacial Orthopedics in Vancouver, WA. National Provider Identifier 1205984655, active.
NPI record
| NPI | 1205984655 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 910 Ne 82nd St, Vancouver, WA 98665 |
| Practice phone | 360-546-0183 |
| Mailing address | 6950 Ne Campus Way, Hillsboro, OR 97124 |
| Enumerated | January 8, 2007 |
| Last updated | May 4, 2015 |
| Sole proprietor | No |
| Other names | Susan Guentzel |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DE 00010334 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.