| Doctor Name: | MS. SUSAN DIANE ORTHEL |
| NPI Number: | 1548507429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CCC-SLP |
| License Number: | LL 00004118 |
| Business Practice Address: | 13501 Ne 28th St. Evergreen Public Schools Vancouver, WA - 98668 |
| Business Phone Number: | 3606046700 |
| Business Fax Number: | |
| Mailing Address: | 35606 Nw 35th Ct, LA CENTER |
| State: | WA |
| Postal Code: | 986293035 |
| Phone Number: | 3602634662 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2013 |
| NPI Last Update Date: | 01/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL 00004118 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |