Provider Demographics
NPI:1588840532
Name:LABHARD, SUSAN COOPER (MSN, RN)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:COOPER
Last Name:LABHARD
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 SW SAM JACKSON PARK RD
Mailing Address - Street 2:SHRINERS HOSPITAL FOR CHILDREN
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3009
Mailing Address - Country:US
Mailing Address - Phone:503-241-5090
Mailing Address - Fax:503-221-3483
Practice Address - Street 1:3101 SW SAM JACKSON PARK RD
Practice Address - Street 2:SHRINERS HOSPITAL FOR CHILDREN
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3009
Practice Address - Country:US
Practice Address - Phone:503-241-5090
Practice Address - Fax:503-221-3483
Is Sole Proprietor?:No
Enumeration Date:2008-01-20
Last Update Date:2008-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics