Individual
SUZANNE B ELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CERT. MDT
Contact information
Practice address
1506 WASHINGTON ST, OREGON CITY, OR 97045-1450
(503) 655-6777
(503) 655-6778
Mailing address
21310 MILES DR, WEST LINN, OR 97068-2856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4322
OR
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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