Individual
SUSAN HOLZEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OREGON LMT 20284
Contact information
Practice address
2505 SE 11TH AVE, SUITE 218, PORTLAND, OR 97202-1061
(503) 839-6259
Mailing address
6327 SE 63RD AVE, PORTLAND, OR 97206-6607
(503) 839-6259
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
20284
OR
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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