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Contact Information

SUSAN GOTCHALL, LMT
10175 SW BARBUR BLVD
300H
PORTLAND, OR97219-5908
 Phone: 503-307-1585
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for SUSAN GOTCHALL · (Female)

NPI # 1376908681
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 12/31/2015
Last updated 12/31/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 2092
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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