Black, Suzanne Elizabeth

Black, Suzanne Elizabeth is an sole proprietor health care provider with primary practice located at 11565 Sw Durham Rd Suite 110, Tigard OR 97224-3553. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Black, Suzanne Elizabeth can be contacted via phone (503) 639-0778.

Contact Information

Primary practice address
11565 Sw Durham Rd Suite 110 Tigard OR 97224-3553
Phone: (503) 639-0778
Fax: (503) 639-0815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18504 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 18504 Oregon

Profile Details

NPI number 1699057471
LBN Legal business name Black, Suzanne Elizabeth
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2011
Last updated Jun 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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