Suzanne Yeates Anderson, P.T
Individual provider Active NPI Physical Therapist · Wilsonville, OR
NPI 1063736023 · NPPES record last updated Mar 19, 2010
Key facts
- NPI
- 1063736023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 01540 (OR)
- Practice address
- 25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697 - Phone
- (888) 757-3422
- NPI assigned
- Mar 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01540 | OR | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 01540 | OR | Yes |
Addresses
Primary practice location
25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Mailing address
8438 SW Oleson Rd
Portland, OR 97223-6977
Other providers in Wilsonville, OR
- Alive Acupuncture & Wellness Center
- Velma Marie Amaya-Medina
- Kenya Amos
- Carla Rayne Anderson
- Marina L Anderson
- Anne Pernichele DC PC
- Analyne A Antonio-Craig
- Assist Services
- James Homer Atkins III
- Sarah Marie Atkins
All providers in Wilsonville, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.