Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dina Bryce Sussman-Gaedke, LMT

Individual provider Massage Therapist · NPI 1821770074

Dina Bryce Sussman-Gaedke, LMT is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

4922 N Vancouver Ave
Portland, OR 97217-2826
Phone: (503) 493-9398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 27722 (OR)

Record details

NPI number1821770074
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 5, 2023

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