Provider Demographics
NPI:1609078625
Name:HOWARD, SUSAN J
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:J
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SUSAN
Other - Middle Name:J
Other - Last Name:TOPOREK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2321 SCOTTO WAY S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-9514
Mailing Address - Country:US
Mailing Address - Phone:503-763-1817
Mailing Address - Fax:503-763-1817
Practice Address - Street 1:2421 LANCASTER DR NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1220
Practice Address - Country:US
Practice Address - Phone:503-361-2783
Practice Address - Fax:503-361-2782
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health