Provider Demographics
NPI:1487944245
Name:BUHLER, SUSAN D (LAC)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:D
Last Name:BUHLER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7919 SE HENRY ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-6332
Mailing Address - Country:US
Mailing Address - Phone:971-216-9913
Mailing Address - Fax:
Practice Address - Street 1:4160 SE INTERNATIONAL WAY
Practice Address - Street 2:SUITE D-205
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-8862
Practice Address - Country:US
Practice Address - Phone:971-216-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC152822171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist