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1376908681
SUSAN GOTCHALL
PORTLAND, OR
NPI
1376908681
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Professional Name
SUSAN CARLSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 2092)
Enumeration Date
2015-12-31
Last Update Date
2015-12-31
Business Address
-- SUSAN GOTCHALL LMT
10175 SW BARBUR BLVD 300H
PORTLAND, OR 97219-5908
Phone number: 503-307-1585
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Mailing Address
-- SUSAN GOTCHALL LMT
10175 SW BARBUR BLVD 300H
PORTLAND, OR 97219-5908
Phone number: 503-307-1585
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