Individual
SUSAN T CASSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
812 NE 28TH AVE, PORTLAND, OR 97232-2409
(503) 235-5086
(503) 233-8615
Mailing address
812 NE 28TH AVE, PORTLAND, OR 97232-2409
(503) 235-5086
(503) 233-8615
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2108
OR
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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