Individual
SUZANNE LAMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT, CYT
Contact information
Practice address
7320 SW HUNZIKER ST STE 203, TIGARD, OR 97223-2301
(888) 317-1019
Mailing address
61 JACKSON LN, PORT LUDLOW, WA 98365-9668
(062) 465-7767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160504743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P160504743
WDOH
WA
Enumeration date
05/25/2007
Last updated
03/22/2018
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