Individual provider · Type 1 NPI

Suzanne Elizabeth Black, LMT

Massage Therapist · Tigard, OR

NPI number 1699057471 Active

Practice location

11565 SW Durham Rd, Suite 110
Tigard, OR 97224-3553

Call (503) 639-0778 Map

Fax (503) 639-0815

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X18504 (OR)
Massage Therapist Primary 225700000X18504 (OR)

Massage Therapist: 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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About NPI 1699057471

Suzanne Elizabeth Black, LMT's National Provider Identifier is 1699057471, issued on Sep 16, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tigard, OR. The record was last updated on Jun 8, 2020.