MRS. SUZANNE ELIZABETH BLACK (NPI# 1699057471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699057471 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE ELIZABETH BLACK |
| Credential | LMT |
| Practice Address |
11565 Sw Durham Rd Suite 110 Tigard OR 97224-3553 |
| Practice Telephone | 5036390778 |
| Practice Fax Number | 5036390815 |
| Mailing Telephone | 5036390778 |
| Mailing Fax Number | 5036390815 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 18504 | OR | Other Service Providers |
| Y | 225700000X | Massage Therapist | 18504 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776323 | Suzanne Alexandra Black | Psychologist | 345 Riverside Dr Apt 2f, New York, NY 10025-3452 | 2017-08-22 |
| 1174954796 | Suzanne Black | Veterinarian | 1112 Morton Blvd, Kingston, NY 12401-1557 | 2013-12-07 |
| 1720082167 | Suzanne D Black | Family Medicine | 2714 Osler Blvd, Bryan, TX 77802-2517 | 2005-06-13 |
| 1760980874 | Suzanne Black | Dietitian, Registered | 5211 Ne Glisan St Bldg C, Portland, OR 97213-3052 | 2018-01-24 |
| 1235512468 | Suzanne Marie Black | Registered Nurse | 1120 Lexington Ave Fl 2, New York, NY 10075-0309 | 2015-07-07 |
| 1962819979 | Suzanne Elizabeth Black | Registered Nurse | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2014-07-22 |
| 1700903424 | Suzanne B Black | Nurse Practitioner | 3333 Burnet Ave, Ml 2001, Cincinnati, OH 45229-3026 | 2007-03-26 |
| 1255497988 | Suzanne Black | Counselor | 100 Lafayette St, Pawtucket, RI 02860-6008 | 2006-12-28 |
| Street Address |
11565 SW DURHAM RD SUITE 110 |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474466 | Brandon Jason Schwindt | Dentist | 11565 Sw Durham Rd, Bldg F, Suite 100, Tigard, OR 97224-3553 | 2005-08-11 |
| 1578096954 | Brianna Noelle Tollenaar | Massage Therapist | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2017-04-04 |
| 1366982985 | Matthew Peterson | Chiropractor | 11565 Sw Durham Rd, Tigard, OR 97224-3553 | 2017-03-01 |
| 1740643295 | Whitney Arnold | Massage Therapist | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2016-04-01 |
| 1811262306 | Brandon Schwindt Dmd PC | Dentist | 11565 Sw Durham Rd, Bldg F, Ste 100, Tigard, OR 97224-3553 | 2012-03-15 |
| 1881876704 | Cornerstone Chiropractic, LLC | Chiropractor | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2007-12-03 |
| 1679776603 | Robert J Wood | Dentist | 11565 Sw Durham Rd, Suite 100, Tigard, OR 97224-3553 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301024 | Jenna Lari Johnston | Massage Therapist | 12662 Sw 127th Ave, Tigard, OR 97223-1859 | 2020-09-22 |
| 1073160172 | Mele Kali Smith | Massage Therapist | 12305 Sw Bell Ct, Tigard, OR 97223-1820 | 2019-08-22 |
| 1629536123 | Molly Ann Carlson | Massage Therapist | 7185 Sw Sandburg St Ste 100, Tigard, OR 97223-8090 | 2019-03-04 |
| 1477053429 | Marissa Emery | Massage Therapist | 7455 Sw Bridgeport Rd Ste E240, Tigard, OR 97224-7252 | 2018-02-16 |
| 1891211389 | Ashley A Doke | Massage Therapist | 7150 Sw Hampton St Ste 115, Tigard, OR 97223-8365 | 2017-08-17 |
| 1295251080 | Alexandra Rose Devivo | Massage Therapist | 12700 Sw North Dakota St Ste 180, Tigard, OR 97223-0802 | 2017-08-14 |
| 1023560729 | Samantha Suter | Massage Therapist | 11785 Sw Koski Dr, Tigard, OR 97223-5310 | 2016-10-28 |
| 1033664529 | Joanna Hutchins | Massage Therapist | 12353 Sw Walnut St, Tigard, OR 97223-3039 | 2016-08-24 |
| 1184070443 | Grounded Flow | Massage Therapist | 12085 Sw Hall Blvd, Tigard, OR 97223-6253 | 2016-05-05 |
| 1649632431 | Harriet Frances Carpenter | Massage Therapist | 9430 Sw Coral St. Suite 203, Tigard, OR 97223 | 2016-03-22 |
| Find all providers in TIGARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.