SUSAN DARRELL LMT
NPI 1902146285
Massage Therapist in Portland, OR
- Individual
- Female
- Massage Therapist
About SUSAN DARRELL
This page provides the complete NPI Profile along with additional information for Susan Darrell, a provider established in Portland, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1902146285 assigned on February 2013. The practitioner's primary taxonomy code is 225700000X with license number 19592 (OR). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1902146285 Verify this NPI
- Provider Name
- SUSAN DARRELL LMT
- Other Name
- SIRENE DARRELL LMT
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1404 SW HALL ST PORTLAND, OR 97201
- Location Phone
- (503) 893-8501
- Mailing Address
- 1404 SW HALL ST PORTLAND, OR 97201
- Mailing Phone
- (503) 893-8501
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-22-2013
- Last Update Date
- 02-22-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 19592
- License State
- OR
- Taxonomy Description
- An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902146285, enumerated as an "individual" on February 22, 2013.
The provider is located at 1404 SW HALL ST PORTLAND, OR 97201 and the phone number is (503) 893-8501.
Massage Therapist with taxonomy code 225700000X.