MEDICARE: DR. SUZANNE MARIE SARMASTI D.C.

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	111N00000X	Chiropractor	71-3701	OR

General Provider Information

NPI Number	:	1902954621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE MARIE SARMASTI D.C.

Provider Business Mailing Address
First Line	:	1631 WOODS CT
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-9542
Country	:	US
Telephone Number	:	541-400-0266
Fax Number	:	800-796-7703

Provider Business Practice Location Address
First Line	:	1631 WOODS CT
Second Line	:	SUITE 101
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-9542
Country	:	US
Telephone Number	:	541-400-0266
Fax Number	:	800-796-7703

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	12/31/2009

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