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Individual

SUSANNE LIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
049 SW PORTER ST, PORTLAND, OR 97201-4848
(415) 592-4031
Mailing address
049 SW PORTER ST, PORTLAND, OR 97201-4848

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
OR

Other

Enumeration date
09/24/2019
Last updated
09/24/2019
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