Active NPIIndividual providerSole proprietor

Susan Clarke, LMT

Massage Therapist in Tigard, Oregon

NPI Number1528778057
Practice location
7340 SW Hunziker RD Ste 101, Tigard, OR 97223-2303
Fax
—
Last updated
November 23, 2022

Susan Clarke is a Massage Therapist based in Tigard, OR. Susan Clarke practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Susan Clarke is 1528778057 and holds a License No. 14419 (OR). The current practice location address for Susan Clarke is 7340 SW Hunziker RD Ste 101, Tigard, OR 97223-2303 and can be reached out via phone at 503-624-7249.

Provider Profile Details

NPI Number
1528778057
Provider Name
Susan Clarke
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
7340 SW Hunziker RD Ste 101, Tigard, OR 97223-2303
Phone Number
503-624-7249
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
November 23, 2022
Last Update Date
November 23, 2022
Certification Date
November 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
7340 SW Hunziker RD Ste 101
Tigard, OR 97223-2303
City
Tigard
State
Oregon
Zip
97223-2303
Phone Number
503-624-7249
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
7507 SW 25TH Ave
Portland, OR 97219-2529
City
Portland
State
OR
Zip
97219-2529

License Information

License Number
14419
License State
OR
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan Clarke, LMT?

The NPI number of Susan Clarke, LMT is 1528778057. It was assigned on November 23, 2022 and is currently active in the NPPES registry.

What is the specialty of Susan Clarke, LMT?

Susan Clarke, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 14419.

Where does Susan Clarke, LMT practice?

The practice location is 7340 SW Hunziker RD Ste 101, Tigard, OR 97223-2303. The office can be reached at 503-624-7249 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528778057 directly on the NPPES registry website.

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