Individual
SUSAN GOTCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10175 SW BARBUR BLVD, 300H, PORTLAND, OR 97219-5908
(503) 307-1585
Mailing address
10175 SW BARBUR BLVD, 300H, PORTLAND, OR 97219-5908
(503) 307-1585
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2092
OR
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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