Mr. Alex Susbauer, LMT, BCSI (CM) - Portland, OR

Mr. Alex Susbauer, LMT,BCSI(CM)

Massage Therapist in Portland, Oregon

NPI 1982975157

Alex Susbauer is a Massage Therapist based in Portland, OR. Alex Susbauer practices in Portland, OR and has the professional credentials of LMT,BCSI(CM). The NPI Number for Alex Susbauer is 1982975157 and holds a License No. 8205 (Oregon).

The current practice location address for Alex Susbauer is 2135 Se 76Th Ave, Portland, OR and can be reached out via phone at 503-201-9449 and via fax at 503-777-6077.

Location: 2135 Se 76Th Ave, Portland, OR, 97215-4103

NPI Number

1982975157

Provider Name

Alex Susbauer

Credential

LMT,BCSI(CM)

Provider Entity Type

Individual

Gender

Male

Address

2135 Se 76Th Ave, Portland, OR, 97215-4103

Phone Number

503-201-9449

Fax Number

503-777-6077

Provider Enumeration Date

01/19/2012

Last Update Date

03/09/2024

Address

2135 Se 76Th Ave

City

Portland

State

Oregon

Zip

97215-4103

Phone Number

503-201-9449

Fax Number

503-777-6077

Address

2135 Se 76Th Ave

City

Portland

State

Oregon

Zip

97215-4103

Phone Number

503-201-9449

Fax Number

503-777-6077

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

8205 (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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