Susan Marie Stormer, PHD in Portland, OR - Medicare Psychologist Provider

Susan Marie Stormer, PHD is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. Her current practice location is 916 Sw King Ave Ste 203, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 902-5000.

Susan Marie Stormer is licensed to practice in Oregon (license number 2800) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689611154.

Contact Information

	Susan Marie Stormer, PHD
	916 Sw King Ave Ste 203, Portland, OR 97205-1320
	(503) 902-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Marie Stormer
Gender	Female
Speciality	Psychologist - Clinical
Location	916 Sw King Ave Ste 203, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689611154
Provider Enumeration Date: 06/01/2006
Last Update Date: 12/09/2022

Medicare PECOS Information:

PECOS PAC ID: 5890797526
Enrollment ID: I20240612000180

Medical Identifiers

Medical identifiers for Susan Marie Stormer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689611154	NPI	-	NPPES
145683205	Medicaid	TX
145683206	Medicaid	TX
P00009482	Other	TX	RAILROAD
P00009483	Other	TX	RAILROAD
86814A	Other	TX	BCBS
86815A	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	31450 (Texas)	Secondary
103TC0700X	Psychologist - Clinical	PY61341034 (Washington)	Secondary
103TC0700X	Psychologist - Clinical	2800 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Marie Stormer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Susan Marie Stormer, PHD 7327 Sw Barnes Rd # 420, Portland, OR 97225-6119 Ph: (503) 902-5000	Susan Marie Stormer, PHD 916 Sw King Ave Ste 203, Portland, OR 97205-1320 Ph: (503) 902-5000

Reviews and Comments

Psychologist in Portland, OR

Dr. Douglas L Dunlap, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1121 Ne 2nd Ave, Portland, OR 97232 Phone: 503-731-8692
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Alison D. Armour, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-813-2000
Laura Isabel Miranda Olivera, MA, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219 Phone: 855-295-3276 Fax: 888-588-2752
Dr. Amy W Wagner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, V3-satp, Portland, OR 97239 Phone: 503-220-8262 Fax: 360-737-1419

Susan Marie Stormer, PHD - Medicare Psychologist in Portland, OR