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Individual

SUSANNE GREENGARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9764
(503) 652-2880
Mailing address
1870 RADCLIFFE COURT, WEST LINN, OR 97068
(503) 744-0134

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17619
CA
225100000X
Physical Therapist
Primary
5066
OR

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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