Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912092693 Individual Practitioner Female Practitioner

Dr. Susan Elise Koch , MD

Dermatology • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Dr. Susan Koch, MD is a registered healthcare professional specializing in Dermatology in Clackamas, OR. Practice services are available at 9900 SE SUNNYSIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9900 Se Sunnyside Rd

Clackamas, OR 970159750

Telephone 5036536440
Fax 5035718974
Associated Practice Facility / Clinic
🏢 Kaiser Foundation Hospitals Facility NPI 1275619215

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
15 Specialists

Practicing in Clackamas, OR (217 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OR MD21378

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License WA MD00037941

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Michael Hollenback , PA-C

Physician Assistant - Surgical

NPI 1003923293

Physician Assistant (Certified)

NPI 1023245867

Doctor of Medicine (M.D.)

NPI 1154416535

Doctor of Medicine (M.D.)

NPI 1194818955

Doctor of Medicine (M.D.)

NPI 1194827626
Dr. Paul Raether , MD

Neuromusculoskeletal Medicine, Sports Medicine

NPI 1194831354

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9900 SE SUNNYSIDE RD, CLACKAMAS, OR 970159750 (Tel: 5036536440)

📍
Updated Business Mailing Address July 08, 2007

Registered at 20200 SE WALGREN RD, DAMASCUS, OR 97089 (Tel: 5036587218)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN KOCH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #MD21378 in OR)

🟢
Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912092693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

20200 Se Walgren Rd

Damascus, OR 97089

Phone: 5036587218

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.