- Practice location
- 11565 SW Durham RD, Suite 110, Tigard, OR 97224-3553
- Phone
- 503-639-0778
- Fax
- 503-639-0815
- Last updated
- June 8, 2020
Suzanne Elizabeth Black is a Massage Therapist based in Tigard, OR. Suzanne Elizabeth Black practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Suzanne Elizabeth Black is 1699057471 and holds a License No. 18504 (OR). The current practice location address for Suzanne Elizabeth Black is 11565 SW Durham RD, Suite 110, Tigard, OR 97224-3553 and can be reached out via phone at 503-639-0778 and via fax at 503-639-0815.
Provider Profile Details
- NPI Number
- 1699057471
- Provider Name
- Suzanne Elizabeth Black
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11565 SW Durham RD, Suite 110, Tigard, OR 97224-3553
- Phone Number
- 503-639-0778
- Fax Number
- 503-639-0815
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 16, 2011
- Last Update Date
- June 8, 2020
- Certification Date
- June 8, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11565 SW Durham RD
Suite 110
Tigard, OR 97224-3553 - City
- Tigard
- State
- Oregon
- Zip
- 97224-3553
- Phone Number
- 503-639-0778
- Fax Number
- 503-639-0815
Provider Business Mailing Address Details
- Address
- 11565 SW Durham RD
Suite 110
Tigard, OR 97224-3553 - City
- Tigard
- State
- OR
- Zip
- 97224-3553
- Phone Number
- 503-639-0778
- Fax Number
- 503-639-0815
License Information
- License Number (1)
- 18504
- License State (1)
- OR
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- 18504
- License State (2)
- OR
- Taxonomy (2)
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Suzanne E Black, LMT?
The NPI number of Mrs. Suzanne E Black, LMT is 1699057471. It was assigned on September 16, 2011 and is currently active in the NPPES registry.
What is the specialty of Mrs. Suzanne E Black, LMT?
Mrs. Suzanne E Black, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 18504.
Where does Mrs. Suzanne E Black, LMT practice?
The practice location is 11565 SW Durham RD, Suite 110, Tigard, OR 97224-3553. The office can be reached at 503-639-0778 (phone) or 503-639-0815 (fax).
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 1699057471 directly on the NPPES registry website.