Individual
SUZANNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
20 NW GREENWOOD AVE, BEND, OR 97701-2062
(541) 550-8550
Mailing address
1207 NE DAWSON DR UNIT 2, BEND, OR 97701-8385
(541) 550-8550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13905
OR
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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