Susan Eide

Behavior Analyst · Gresham, OR

Individual Active NPI

NPI number 1407522170

Practice location

912 NE Kelly Ave # 100c
Gresham, OR 97030-5629
Phone
(503) 912-5502

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NPI record

NPI
1407522170
Entity type
Individual (Type 1)
Enumeration date
August 21, 2021
Last updated
August 21, 2021
Certified
August 20, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Susan Eide

Susan Eide is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 912 NE Kelly Ave # 100c, Gresham, OR 97030-5629. The NPI number 1407522170 was assigned on August 21, 2021 and the record was last updated on August 21, 2021.

Frequently asked questions

What is the NPI number of Susan Eide?

The NPI number is 1407522170.

What is the phone number of Susan Eide?

The phone number listed for the practice location is (503) 912-5502.

Where is Susan Eide located?

912 NE Kelly Ave # 100c, Gresham, OR 97030-5629.

What is the taxonomy code for Susan Eide?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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