Individual
MS. LINDSEY SUSANNE BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8600
Mailing address
466 5TH ST, LAKE OSWEGO, OR 97034-3065
(503) 513-8620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4032
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4032
PT LICENSE NUMBER
OR
Enumeration date
05/22/2007
Last updated
07/08/2007
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