NPI 1023560729

Samantha Suter

Practitioner Massage Therapist Tigard, OR

Practice location

Address: 11785 SW Koski Dr, Tigard, OR 97223-5310
Phone: (503) 206-9603

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 22705 (OR)

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Registry record

NPI: 1023560729
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2016
Record last updated: 28 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.