Provider Demographics
NPI:1528180957
Name:ROHRBACHER, SUSAN (MA CCC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:ROHRBACHER
Suffix:
Gender:F
Credentials:MA CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6745 SW HAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8394
Mailing Address - Country:US
Mailing Address - Phone:503-638-5201
Mailing Address - Fax:
Practice Address - Street 1:6745 SW HAMPTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8394
Practice Address - Country:US
Practice Address - Phone:503-638-5201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist