RICCI JEAN SUSICK

PORTLAND, OR
NPI1295956704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  500)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Ms. RICCI JEAN SUSICK P.T.
4805 NE GLISAN
PORTLAND, OR 97213
Phone number: 503-215-6202
Mailing Address
Ms. RICCI JEAN SUSICK P.T.
5110 SW LANDING DRIVE UNIT 206
PORTLAND, OR 97239
Phone number: 503-241-8108