Provider Demographics
NPI:1841480068
Name:ASBELL, SUSAN MARGARET (BS, QMHA)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:MARGARET
Last Name:ASBELL
Suffix:
Gender:F
Credentials:BS, QMHA
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:MARAGARET
Other - Last Name:BORISOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1612
Mailing Address - Street 2:
Mailing Address - City:SCAPPOOSE
Mailing Address - State:OR
Mailing Address - Zip Code:97056-1612
Mailing Address - Country:US
Mailing Address - Phone:503-410-9954
Mailing Address - Fax:
Practice Address - Street 1:124 FOREST PARK DR
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-1040
Practice Address - Country:US
Practice Address - Phone:503-397-2682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator