Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Martin Edward Sudar, LPTA

Individual provider Physical Therapy Assistant · NPI 1407053796

Martin Edward Sudar, LPTA is a Physical Therapy Assistant in Lake Oswego, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
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Practice location Address checks out

3814 Botticelli St
Lake Oswego, OR 97035-1303
Phone: (503) 699-8128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 7928 (OR)

Record details

NPI number1407053796
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedJune 29, 2007
Last updated in NPPESJuly 8, 2007

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