Susan Bamford

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

742 Issued in OR

Legal business name

SUSAN BAMFORD

Practice address

1845 Commercial St SE
Salem, OR 97302-5203

Phone

(503) 581-7600

NPI assigned

Oct 14, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Bamford, LCSW

Title

Mental Health Counselor

Phone

(503) 581-7600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1508141185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025203",
            "telephone_number": "503-581-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BAMFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "BAMFORD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "503-581-7600",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunset Serenity Care Home LLC
• Sunshine Care LLC
• Sunshine Counseling LLC
• Sur Logistics LLC
• Briana D Surin-Torres
• Danny Ronan Sussman
• Scarlet Sutherland
• Donald G. Sutton
• Trena Sue Sutton, LPN
• Jessica Leigh Svingen, D.O.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.