Suzanne Marie Belatti, MSPT, DPT

Individual provider Active NPI Geriatric Physical Therapist · Wilsonville, OR

NPI 1235329657 · NPPES record last updated Aug 1, 2007

Key facts

NPI
1235329657
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Physical Therapist 2251G0304X
License
4174 (OR)
Practice address
25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070-9697
Phone
(888) 757-3422
Fax
(503) 570-9155
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4174ORMDGeriatric Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 4174 OR Yes

Addresses

Primary practice location

25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070-9697

Mailing address

12828 NE Morris St
Portland, OR 97230-1733
Phone (503) 251-4258

Other providers in Wilsonville, OR

All providers in Wilsonville, OR · Geriatric Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.