SUSAN LIESEMER LYNCH (NPI# 1811274517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811274517 |
Entity Type | Individual |
Full Name | SUSAN LIESEMER LYNCH |
Credential | LMT |
Practice Address |
10211 Sw Barbur Blvd 206a Portland OR 97219-5933 |
Practice Telephone | 5038282073 |
Mailing Telephone | 5038282073 |
Enumeration Date | 2011-11-08 |
Last Update Date | 2011-11-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 14196 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 172M00000X | Mechanotherapist | 14196 | OR | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164747119 | Susan Grace Lynch | Massage Therapist | 40 Jacqueline Dr, Berea, OH 44017-2728 | 2010-04-01 |
1881887925 | Susan Patricia Lynch | Nurse Practitioner | 2381 Mason Ave Ste 100, Daytona Beach, FL 32117-5161 | 2007-08-22 |
1851594394 | Susan Kathleen Lynch | Psychologist | 15 Chestnut Hill Road, 19, Newark, DE 19713 | 2007-06-11 |
1316093198 | Susan Lynch | Physical Therapist | 41 Bayberry Ln, Smithtown, NY 11787-3927 | 2007-01-26 |
1740331313 | Susan Tassie Lynch | Speech-Language Pathologist | 5406 S Kimbrough Ave, Springfield, MO 65810-2727 | 2007-01-12 |
1780195099 | Susan Lynch | Registered Nurse | 17099 County Seat Hwy, Georgetown, DE 19947-4865 | 2017-10-14 |
1538249537 | Susan K Lynch | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-10-16 |
1700976651 | Susan Michelle Lynch | Physician Assistant | 7400 S Tamiami Trl, Sarasota, FL 34231-7006 | 2006-10-13 |
1972696128 | Susan H Lynch | Nurse Practitioner | 381 Hopmeadow St, Weatogue, CT 06089-9692 | 2006-10-02 |
1639111859 | Susan E. Lynch | Pediatrics | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-12 |
Street Address |
10211 SW BARBUR BLVD 206A |
City | PORTLAND |
State | OR |
Zip Code | 97219-5933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568726917 | Julie Valenti | Counselor | 10211 Sw Barbur Blvd, 105 A, Portland, OR 97219-5933 | 2012-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
Find all providers in zip 97219 |
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 |
---|---|---|---|---|
1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
Find all providers in PORTLAND |
Please comment or provide details below to improve the information on SUSAN LIESEMER LYNCH.
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.