IndividualActive
Dina Sussman-Gaedke, LMT
NPI 1821770074 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1821770074
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 27722 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4922 N Vancouver Ave
Portland, OR 97217-2826
Phone: (503) 493-9398
Approximate (ZIP-level) locationGet directions
Mailing address
4922 N Vancouver Ave
Portland, OR 97217-2826
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2023-08-07
- Certified
- 2023-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.