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Individual

SUZANNE MCREYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16784 SW VINCENT ST, BEAVERTON, OR 97007
(503) 464-6410
Mailing address
16784 SW VINCENT ST, BEAVERTON, OR 97007
(503) 464-6410

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
14355

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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