Individual
DR. SUZANNE DENISE LADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2330 NW FLANDERS ST, SUITE 205, PORTLAND, OR 97210-3442
(503) 223-0900
(503) 223-1188
Mailing address
2330 NW FLANDERS ST, SUITE 205, PORTLAND, OR 97210-3442
(503) 223-0900
(503) 223-1188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3046
OR
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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