MEDICARE: MS. SUSAN VITTNER MT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT4173	ME

General Provider Information

NPI Number	:	1245561570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN VITTNER MT

Provider Business Mailing Address
First Line	:	67 NORTH ST
Second Line	:	1ST FLOOR
City	:	PORTLAND
State	:	ME
Zip	:	04101-2777
Country	:	US
Telephone Number	:	210-559-6419
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 NORTH ST
Second Line	:	1ST FLOOR
City	:	PORTLAND
State	:	ME
Zip	:	04101-2777
Country	:	US
Telephone Number	:	210-559-6419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2010
Last Update Date	:	01/27/2010

Similar Medicare Providers

1184925778 — MRS. ERIN ELIZABETH RIGHTER PA-C, MPAS
Practice Location Address:

2643 NW RALEIGH ST UNIT 32
PORTLAND, OR
97210-2777

Practice Phone: 406-581-7783
Practice Fax:

1932553823 — MINT DENTAL WORKS
Practice Location Address:

1401 SE MORRISON ST STE 108
PORTLAND, OR
97214-2777

Practice Phone: 503-254-1323
Practice Fax: 503-254-6626

1700374154 — FOX KIDS DENTISTRY & ORTHODONTICS II
Practice Location Address:

1401 SE MORRISON ST STE 120
PORTLAND, OR
97214-2777

Practice Phone: 503-477-9911
Practice Fax:

1497476113 — DANIT LIDOR LCSW
Practice Location Address:

3115 NE SANDY BLVD STE 225
PORTLAND, OR
97232-2777

Practice Phone: 971-407-3930
Practice Fax:

1295557015 — JULIA LYMAR
Practice Location Address:

3115 NE SANDY BLVD STE 225
PORTLAND, OR
97232-2777

Practice Phone: 971-407-3930
Practice Fax:

1134180359 — DOUGLAS R BARR MD
Practice Location Address:

84 MARGINAL WAY , SUITE 700
PORTLAND, ME
04101

Practice Phone: 207-774-5816
Practice Fax: 207-523-8597

Directions to “ MS. SUSAN VITTNER MT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.