Provider Demographics
NPI:1922696483
Name:SUHR, PAULETTE (RN)
Entity type:Individual
Prefix:
First Name:PAULETTE
Middle Name:
Last Name:SUHR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:SUHR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:9133 N ALLEGHENY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-2303
Mailing Address - Country:US
Mailing Address - Phone:971-319-4827
Mailing Address - Fax:
Practice Address - Street 1:6011 NE OREGON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-4300
Practice Address - Country:US
Practice Address - Phone:971-319-4827
Practice Address - Fax:503-662-6221
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC9553101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional