SUSAN M PRENETA NPI 1598583999

NPI Information

  • NPI: 1598583999
  • Provider Name: SUSAN M PRENETA
  • Classification: Pediatrics - 2080P0008X
  • Specialization: Neurodevelopmental Disabilities
  • Entity Type: Individual
  • Address: 5847 NE 122ND AVE
    PORTLAND, OR
    ZIP 97230
  • Phone: (971) 339-7040

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NPI Details

Susan M Preneta is a neurodevelopmental disabilities pediatrics in Portland, OR. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Susan M Preneta NPI is 1598583999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5847 NE 122ND AVE
PORTLAND, OR
ZIP 97230-079
Phone: (971) 339-7040

The enumeration date for this NPI number is 10/3/2024 and was last updated on 10/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0008XPediatricsNeurodevelopmental Disabilities135555CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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