Susanne Marie Breen, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

3042 Issued in OR

Practice address

11030 SW Capitol Hwy Ste 200
Portland, OR 97219-8653

Phone

(503) 477-7602

Fax

(971) 288-1303

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: susanne.breen@132510881218564.direct.elationemr.com

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1730423716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 SW CAPITOL HWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198653",
            "telephone_number": "503-477-7602",
            "fax_number": "971-288-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 SW CAPITOL HWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198653",
            "telephone_number": "503-477-7602",
            "fax_number": "971-288-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "SUSANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "endpointDescription": "website connect",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Portland",
            "address_1": "11030 SW Capitol Hwy Ste 200",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972198653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Ann Breen, RN MBA CDCES
• Neff Russell Breen, M.D.
• Patrick William Breen, MD
• Roy Eugene Breen, MD
• Ruvin Victor Breen, M.D.
• Matthew J Breeze, MD
• Kevin Scott Breger, M.D.
• Christin Marie Bregman, R.D.
• Todd Wesley Brehm, MSW, LSSW
• Nikki Breitbarth, RN

• All providers in Portland, OR
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.