Active NPI
Susan Beth Guerin, MD
- Anatomic Pathology & Clinical Pathology Physician
- Portland, OR
National Provider Identifier
1417040387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD14017
- Practice address
- 13705 NE Airport Way
Suite C
Portland, OR 97230-1048 - Phone
- (503) 258-6855
- Fax
- (503) 258-6864
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD14017 | OR | Primary |
Addresses
Primary practice location
13705 NE Airport Way
Suite C
Portland, OR 97230-1048
Mailing address
11755 SE Idleman Rd
Portland, OR 97266-6860
Phone (503) 771-8361
Other names 1
- Susan Beth Barrar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417040387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11755 SE IDLEMAN RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972666860",
"telephone_number": "503-771-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13705 NE AIRPORT WAY",
"address_2": "SUITE C",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972301048",
"telephone_number": "503-258-6855",
"fax_number": "503-258-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERIN",
"first_name": "SUSAN",
"middle_name": "BETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OR",
"license": "MD14017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BARRAR",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.