Individual provider · Type 1 NPI

Dina Bryce Sussman-Gaedke, LMT

Massage Therapist · Portland, OR

NPI number 1821770074 Active

Practice location

4922 N Vancouver Ave
Portland, OR 97217-2826

Call (503) 493-9398 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27722 (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 1821770074

Dina Bryce Sussman-Gaedke, LMT's National Provider Identifier is 1821770074, issued on Aug 7, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 7, 2023.