Individual provider · Type 1 NPI

Wendy Susanne Hustad, LMT

Specialist · Gresham, OR

NPI number 1891823977 Active

Practice location

1217 NE Burnside Rd, Suite 502
Gresham, OR 97030-6722

Call (503) 492-3910 Map

Fax (503) 492-3905

Mailing address

10114 SE Knight St
Portland, OR 97266-4414

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X10361 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891823977

Wendy Susanne Hustad, LMT's National Provider Identifier is 1891823977, issued on Mar 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gresham, OR. The record was last updated on Jul 8, 2007.