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Susan K Pedersen, LMT
Massage Therapist in Portland, Oregon
NPI 1629278015

Susan K Pedersen is a Massage Therapist based in Portland, OR. Susan K Pedersen practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Susan K Pedersen is 1629278015 and holds a License No. 14205 (Oregon).

The current practice location address for Susan K Pedersen is 424 Ne Morris St, Portland, OR and can be reached out via phone at 503-281-4647.

Location: 424 Ne Morris St, Portland, OR, 97212-3164
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Provider Profile Details
NPI Number
1629278015
Provider Name
Susan K Pedersen
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
424 Ne Morris St, Portland, OR, 97212-3164
Phone Number
503-281-4647
Fax Number
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14205 01 OR LICENSED MASSAGE THERAPIS
institution
Provider Business Practice Location Address Details
Address
424 Ne Morris St
City
State
Zip
97212-3164
Phone Number
503-281-4647
Fax Number
person
Provider Business Mailing Address Details
Address
424 Ne Morris St
City
State
Zip
97212-3164
Phone Number
503-281-4647
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
14205 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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