Provider Demographics
NPI:1710144084
Name:SUZANNE LAWTON, LLC
Entity Type:Organization
Organization Name:SUZANNE LAWTON, LLC
Other - Org Name:DR. SUZANNE LAWTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:CLARE
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-443-2332
Mailing Address - Street 1:11825 SW GREENBURG RD
Mailing Address - Street 2:STE. A2
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-6460
Mailing Address - Country:US
Mailing Address - Phone:503-443-2332
Mailing Address - Fax:503-443-2142
Practice Address - Street 1:11825 SW GREENBURG RD
Practice Address - Street 2:STE. A2
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-6460
Practice Address - Country:US
Practice Address - Phone:503-443-2332
Practice Address - Fax:503-443-2142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0954175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty