| Doctor Name: | SUSAN BACH |
| NPI Number: | 1063540839 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AP30003806 |
| Business Practice Address: | 118 E 8th St Port Angeles, WA - 983626129 |
| Business Phone Number: | 3604570431 |
| Business Fax Number: | 3604570493 |
| Mailing Address: | 118 E 8th St, PORT ANGELES |
| State: | WA |
| Postal Code: | 983626129 |
| Phone Number: | 3604570431 |
| Fax Number: | 3604570493 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP30003806 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |