Individual
SUSKIA VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 COLLINS WAY, STE. 201, LAKE OSWEGO, OR 97035-3480
(503) 635-1236
Mailing address
3990 COLLINS WAY, STE. 201, LAKE OSWEGO, OR 97035-3480
(503) 635-1236
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
21589
OR
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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