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

MS. Susan Adele Petersen, LMT

Individual provider Mechanotherapist · NPI 1801061676

MS. Susan Adele Petersen, LMT is a Mechanotherapist in Wilsonville, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

30240 SW Parkway Ave Ste 5
Wilsonville, OR 97070-9756
Phone: (503) 730-1785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence 10903 (OR)

Record details

NPI number1801061676
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 23, 2008
Last updated in NPPESApril 23, 2008
Mailing address30240 Sw Parkway Ave Ste 5, Wilsonville, OR 97070-9756

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