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Mrs. Suzanne Elizabeth Black, LMT
Massage Therapist in Tigard, Oregon
NPI 1699057471

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 (Oregon).

The current practice location address for Suzanne Elizabeth Black is 11565 Sw Durham Rd, Tigard, OR and can be reached out via phone at 503-639-0778 and via fax at 503-639-0815.

Location: 11565 Sw Durham Rd, Tigard, OR, 97224-3553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699057471
Provider Name
Suzanne Elizabeth Black
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
11565 Sw Durham Rd, Tigard, OR, 97224-3553
Phone Number
503-639-0778
Fax Number
503-639-0815
Provider Enumeration Date
09/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11565 Sw Durham Rd
City
Tigard
State
Oregon
Zip
97224-3553
Phone Number
503-639-0778
Fax Number
503-639-0815
person
Provider Business Mailing Address Details
Address
11565 Sw Durham Rd
City
Tigard
State
Oregon
Zip
97224-3553
Phone Number
503-639-0778
Fax Number
503-639-0815
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
18504 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
18504 (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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