Susan K Pedersen in Portland - Massage Therapist
Susan K Pedersen - NPI 1629278015
Susan K Pedersen is a Massage Therapist in Portland, Oregon. Susan K Pedersen practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Susan K Pedersen is 1629278015. The last update date is 2007-07-23.
Susan K Pedersen's current location address is 424 Ne Morris St, Portland, Oregon. You can contact this provider via phone number 5032814647. The mailing address for Susan K Pedersen is 424 Ne Morris St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan K Pedersen |
|---|---|
| Address | 424 Ne Morris St, Portland, Oregon |
| Phone Number | 5032814647 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1629278015 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 424 Ne Morris St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972123164 |
| Phone Number | 5032814647 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 14205 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14205 | OR | LICENSED MASSAGE THERAPIS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan K Pedersen by the Centers for Medicare & Medicaid Services?
The Susan K Pedersen has been assigned the NPI (National Provider Identifier) 1629278015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Susan K Pedersen is geographically located?
The Susan K Pedersen is physically situated at the following location: 424 Ne Morris St, Portland, OR, 972123164.
What is Susan K Pedersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan K Pedersen is Massage Therapist, and the corresponding taxonomy classification code for this specialized field is 225700000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629278015 to Susan K Pedersen?
The Centers for Medicare & Medicaid Services assigned the 1629278015 to Susan K Pedersen on 2007-07-23.
When was the information regarding Susan K Pedersen most recently updated?
The details pertaining to the Susan K Pedersen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-23.