Susan Adele Petersen, LMT
Mechanotherapist · Wilsonville, OR
Practice location
30240 SW Parkway Ave Ste 5Wilsonville, OR 97070-9756
- Phone
- (503) 730-1785
NPI record
- NPI
- 1801061676
- Entity type
- Individual (Type 1)
- Enumeration date
- April 23, 2008
- Last updated
- April 23, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Mechanotherapist Primary | 172M00000X |
10903 | OR |
About Susan Petersen
Susan Adele Petersen, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Mechanotherapist (code 172M00000X). The practice location is 30240 SW Parkway Ave Ste 5, Wilsonville, OR 97070-9756. The NPI number 1801061676 was assigned on April 23, 2008 and the record was last updated on April 23, 2008.
Susan Petersen lists a license in the registry: #10903 (OR) for Mechanotherapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Susan Adele Petersen, LMT?
The NPI number is 1801061676.
What is the phone number of Susan Petersen?
The phone number listed for the practice location is (503) 730-1785.
Where is Susan Petersen located?
30240 SW Parkway Ave Ste 5, Wilsonville, OR 97070-9756.
What is the taxonomy code for Susan Petersen?
The primary taxonomy code is 172M00000X – Mechanotherapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Mechanotherapist providers in Wilsonville
- Jacqulyn Maxine McDougal, LMT8755 SW Christine Dr
- Kirsten N. Grace, LMT8755 SW Citizens Dr Ste 102
- Klara Louise Ecklund, L.M.T.25700 SW Argyle Ave